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Individual

MS. MARY ALICE MACKENZIE LEINBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP, CPNP

Contact information

Practice address
615 E PRINCETON ST, SUITE 310, ORLANDO, FL 32803-1456
(407) 898-2767
(407) 898-9443
Mailing address
1336 TWIN RIVERS BLVD, OVIEDO, FL 32766-5081
(321) 961-4325
(407) 898-9443

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9212933
FL

Other

Enumeration date
10/25/2006
Last updated
07/08/2007
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