Mark Leeds, D.o., P.a. | |
304 Indian Trace #528 Weston FL 33326 | |
(954) 776-6226 | |
(954) 692-8120 |
Full Name | Mark Leeds, D.o., P.a. |
---|---|
Speciality | Family Medicine |
Location | 304 Indian Trace #528, Weston, Florida |
Authorized Official Name and Position | Mark Jeffrey Leeds (PRESIDENT) |
Authorized Official Contact | 9547766226 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mark Leeds, D.o., P.a. 304 Indian Trace #528 Weston FL 33326 Ph: (954) 776-6226 | Mark Leeds, D.o., P.a. 304 Indian Trace #528 Weston FL 33326 Ph: (954) 776-6226 |
NPI Number | 1538174941 |
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Provider Enumeration Date | 07/31/2006 |
Last Update Date | 08/08/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538174941 | NPI | - | NPPES |
274554200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS7559 (Florida) | Primary |
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