| Leggett Medical Group | |
|
3896 Easton St Sarasota FL 34238-2601 | |
| (941) 365-2434 | |
| Not Available |
| Full Name | Leggett Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 3896 Easton St, Sarasota, Florida |
| Authorized Official Name and Position | David Leggett (PRACTICE MANAGER) |
| Authorized Official Contact | 9416858914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leggett Medical Group 651 Se 41st Ave Trenton FL 32693-5003 Ph: (941) 685-8914 | Leggett Medical Group 3896 Easton St Sarasota FL 34238-2601 Ph: (941) 365-2434 |
| NPI Number | 1659449916 |
|---|---|
| Provider Enumeration Date | 12/02/2006 |
| Last Update Date | 01/05/2023 |
| Medicare PECOS PAC ID | 7113994195 |
|---|---|
| Medicare Enrollment ID | O20040910000833 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659449916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (Florida) | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | (Florida) | Secondary |
| Provider Name | Karen Leggett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093883357 PECOS PAC ID: 6608843073 Enrollment ID: I20040918000009 |
| Provider Name | Catherine O'connell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780786582 PECOS PAC ID: 2860595337 Enrollment ID: I20070321000583 |
| Provider Name | Blesilda H Olfato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922186485 PECOS PAC ID: 3375668379 Enrollment ID: I20100914001184 |
| Provider Name | Leah M Lange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285978163 PECOS PAC ID: 6406009844 Enrollment ID: I20130114000429 |
| Provider Name | Hiram Dickinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366879439 PECOS PAC ID: 3971739319 Enrollment ID: I20131202000280 |
| Provider Name | Rhonda R Holb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457687758 PECOS PAC ID: 0446404123 Enrollment ID: I20151104001536 |
| Provider Name | Rachael Luther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366840332 PECOS PAC ID: 2062713894 Enrollment ID: I20151218002188 |
| Provider Name | Hillary Lynn Barnes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164633186 PECOS PAC ID: 4183871759 Enrollment ID: I20170802000395 |
| Provider Name | Mary Kathleen Dufek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184193047 PECOS PAC ID: 1557607462 Enrollment ID: I20190115000878 |
| Provider Name | Guesline Farah Brutus Eugene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033849732 PECOS PAC ID: 4880061902 Enrollment ID: I20221102002873 |
| Provider Name | Jorge Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124738919 PECOS PAC ID: 2264804780 Enrollment ID: I20230209003113 |
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