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Organization
MARK LEEDS, D.O., P.A.
Active
Organization
MARK LEEDS, D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK JEFFREY LEEDS D.O. (PRESIDENT)
(954) 776-6226
Entity
Organization
Contact information
Practice address
304 INDIAN TRACE #528, WESTON, FL 33326
(954) 776-6226
(954) 692-8120
Mailing address
304 INDIAN TRACE #528, WESTON, FL 33326
(954) 776-6226
(954) 692-8120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS7559
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274554200
—
FL
Enumeration date
07/31/2006
Last updated
08/08/2014
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