Deirdre Leake in St Augustine - Otolaryngology
Deirdre Leake - NPI 1073617585
Deirdre Leake is a Otolaryngology in St Augustine, Florida. Deirdre Leake practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Deirdre Leake is 1073617585. The last update date is 2023-10-09.
Deirdre Leake's current location address is 1750 Tree Blvd, St Augustine, Florida. You can contact this provider via phone number 9048105434 and fax number 9048105282. The mailing address for Deirdre Leake is 1750 Tree Blvd, St Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deirdre Leake |
|---|---|
| Address | 1750 Tree Blvd, St Augustine, Florida |
| Phone Number | 9048105434 |
| Fax Number | 9048105282 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1073617585 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2023-10-09 |
Provider Mailing Address Detail
| Address | 1750 Tree Blvd |
|---|---|
| City | St Augustine |
| State | Florida (FL) |
| Post Code | 320845715 |
| Phone Number | 9048105434 |
| Fax Number | 9048105282 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | ME91018 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00255496 | FL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Deirdre Leake by the Centers for Medicare & Medicaid Services (CMS)?
The Deirdre Leake has been assigned the NPI (National Provider Identifier) 1073617585. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Deirdre Leake's facilities are geographically located?
The facilities of Deirdre Leake are physically situated at the following location: 1750 Tree Blvd, St Augustine, FL, 320845715.
What is the Deirdre Leake's specialty and taxonomy code?
The Deirdre Leake's specialty is Otolaryngology, and the corresponding taxonomy code is 207Y00000X.
When did the Deirdre Leake receive its 1073617585?
The Deirdre Leake was issued its 1073617585 on 2006-09-13, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Deirdre Leake most recently updated or revised?
The information pertaining to Deirdre Leake, including its address, specialty, and other relevant details, was last updated or revised on 2023-10-09.
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