| 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 |
|---|---|
| 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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