Individual
DEIRDRE LEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
ME91018
FL
207YS0123X
Facial Plastic Surgery Physician
Primary
ME91018
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00255496
RAILROAD MEDICARE
FL
Enumeration date
09/13/2006
Last updated
06/12/2025
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