| Mr Leon Martin Bard, PAC | |
|
17820 Se 109th Ave Ste 108, Summerfield, FL 34491-8968 | |
| (352) 693-2340 | |
| Not Available |
| Full Name | Mr Leon Martin Bard |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 17820 Se 109th Ave Ste 108, Summerfield, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255769758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9107447 (Florida) | Primary |
| Entity Name | Orlando Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
| Entity Name | Cape Coral Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376611962 PECOS PAC ID: 1557465325 Enrollment ID: O20070404000086 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Leon Martin Bard, PAC 17820 Se 109th Ave Ste 108, Summerfield, FL 34491-8968 Ph: (352) 693-2340 | Mr Leon Martin Bard, PAC 17820 Se 109th Ave Ste 108, Summerfield, FL 34491-8968 Ph: (352) 693-2340 |
Sheila R Dickerman, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 17136 Se 109th Terrace Rd Ste 4, Summerfield, FL 34491 Phone: 352-320-6154 |
Noreen Burch, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 17270 Se 109th Terrace Rd, Summerfield, FL 34491 Phone: 352-633-7222 Fax: 352-633-7205 |
Carla Renee Bailey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10973 Se 175th Pl Ste 100, Summerfield, FL 34491 Phone: 352-259-6553 Fax: 352-873-9397 |
Tiffani Masar, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10250 Se 167th Place Rd Unit 5, Summerfield, FL 34491 Phone: 352-307-9925 |
Marissa Rae Reit, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10770 Se 173rd St, Summerfield, FL 34491 Phone: 352-435-7321 |
Kristen Marie Teel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17270 Se 109th Terrace Rd, Summerfield, FL 34491 Phone: 352-633-7222 |
Annalee Santos Russ, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17820 Se 109th Ave Ste 108, Summerfield, FL 34491 Phone: 352-693-2340 Fax: 352-693-2345 |