Individual
DR. JENNIFER WOODARD LEIDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
60 W GORE ST, ORLANDO, FL 32806-1141
(321) 841-7360
(321) 841-7361
Mailing address
60 W GORE ST, ORLANDO, FL 32806-1141
(321) 841-7360
(321) 841-7361
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
ME112531
FL
208000000X
Pediatrics Physician
MD037831
DC
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
ME112531
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN9945
FL
Other
Enumeration date
10/25/2007
Last updated
10/18/2021
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