Individual
TAMMY LEITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7778 SW JACK JAMES DR, STUART, FL 34997-7249
(504) 669-9099
Mailing address
11718 SE FEDERAL HWY # 245, HOBE SOUND, FL 33455-5303
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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