Individual
JOHN ROBERT LEIBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6400 W NEWBERRY RD, SUITE 302, GAINESVILLE, FL 32605
(352) 331-8902
Mailing address
6400 W NEWBERRY RD, SUITE 308, GAINESVILLE, FL 32605
(352) 331-8902
(352) 332-7832
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0023160
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058638200
—
FL
Enumeration date
07/13/2006
Last updated
09/18/2020
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