Individual
JAMES LEIGHTON MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8725 N WICKHAM RD STE 203, MELBOURNE, FL 32940-2240
(407) 821-3555
(407) 821-3556
Mailing address
8725 N WICKHAM RD STE 203, MELBOURNE, FL 32940-2240
(407) 821-3555
(407) 821-3556
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME128168
FL
2086S0122X
Plastic and Reconstructive Surgery Physician
ME128168
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017623900
—
FL
01
—
ME128168
MEDICAL LICENSE
FL
Enumeration date
05/30/2007
Last updated
01/09/2023
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