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Individual
LEAHA J NEVILLE
Active
Individual
LEAHA J NEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO3148
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO3148
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020786800
—
FL
01
—
U7945Y
MEDICARE PTAN
—
Enumeration date
06/13/2006
Last updated
07/12/2017
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