Michael David Leach in Gaineville - Physician Assistant
Michael David Leach - NPI 1992818504
Michael David Leach is a Physician Assistant in Gaineville, Florida. Michael David Leach practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael David Leach is 1992818504. The last update date is 2016-10-27.
Michael David Leach's current location address is 6716 Nw 11th Place, Gaineville, Florida. You can contact this provider via phone number 3523319729 and fax number 4078953608. The mailing address for Michael David Leach is 6716 Nw 11th Place, Gaineville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael David Leach |
|---|---|
| Address | 6716 Nw 11th Place, Gaineville, Florida |
| Phone Number | 3523319729 |
| Fax Number | 4078953608 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1992818504 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2016-10-27 |
Provider Mailing Address Detail
| Address | 6716 Nw 11th Place |
|---|---|
| City | Gaineville |
| State | Florida (FL) |
| Post Code | 326054215 |
| Phone Number | 3523319729 |
| Fax Number | 4078953608 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9103759 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Y04QN | FL | BCBS FL | |
| 2619000 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Michael David Leach by the Centers for Medicare & Medicaid Services?
The Michael David Leach has been assigned the NPI (National Provider Identifier) 1992818504 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Michael David Leach's physical address?
The Michael David Leach is physically located at 6716 Nw 11Th Place, in the city of Gaineville, FL, with the postal code 326054215.
What is the area of specialization for Michael David Leach, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael David Leach is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1992818504 to Michael David Leach?
The Centers for Medicare & Medicaid Services originally issued the 1992818504 to Michael David Leach on 2006-08-16.
As of what date were the details related to Michael David Leach most recently updated or revised?
The information pertaining to Michael David Leach, including its address, specialty, and other relevant details, was last updated or revised on 2016-10-27.
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