Individual
MR. JOHN DALLAS LEEAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8415 BAYSHORE BLVD, TAMPA, FL 33621-1607
(813) 827-9805
Mailing address
6306 S MACDILL AVE APT 1003, TAMPA, FL 33611-5078
(813) 244-0837
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
B1401639
FL
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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