Richard F Leedy in Sanford - Adolescent Medicine

Richard F Leedy - NPI 1285621318

Richard F Leedy is a Adolescent Medicine in Sanford, Florida. Richard F Leedy practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Richard F Leedy is 1285621318. The last update date is 2011-09-30.

Richard F Leedy's current location address is 2400 State Road 415, Sanford, Florida. You can contact this provider via phone number 4073670923 and fax number 4073225309. The mailing address for Richard F Leedy is 2400 State Road 415, Sanford, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard F Leedy
Address 2400 State Road 415, Sanford, Florida
Phone Number 4073670923
Fax Number 4073225309
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1285621318
Provider Enumeration Date 2005-10-04
Last Updated Date 2011-09-30

Provider Mailing Address Detail

Address 2400 State Road 415
City Sanford
State Florida (FL)
Post Code 32771
Phone Number 4073670923
Fax Number 4073225309

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 207Qa0000X
Licence No 340015002
Definition:
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
220808 FL AMERIGROUP
254952200 FL --
192902 FL WELLCARE

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FAQs about Richard F Leedy

What is the unique 10-digit identification code issued to Richard F Leedy by the Centers for Medicare & Medicaid Services?

The Richard F Leedy has been assigned the NPI (National Provider Identifier) 1285621318 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Richard F Leedy?

The Richard F Leedy is physically situated at 2400 State Road 415, in the city of Sanford, state of FL, with the postal code 32771.

What is the Richard F Leedy's area of specialization and corresponding taxonomy classification?

The Richard F Leedy's specialty field is Adolescent Medicine, and it falls under the taxonomy code 207Qa0000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1285621318 to Richard F Leedy?

The Centers for Medicare & Medicaid Services assigned the 1285621318 to Richard F Leedy on 2005-10-04.

When was the information regarding Richard F Leedy most recently updated?

The details pertaining to the Richard F Leedy, including its address, specialty, and other relevant information, were last refreshed on 2011-09-30.

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