Individual
DR. ANDREW LEACH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
10504 S FEDERAL HWY, PORT ST LUCIE, FL 34952-5603
(772) 337-2748
(772) 337-1764
Mailing address
10696 S US HIGHWAY 1, STE C, PORT ST LUCIE, FL 34952-6409
(772) 337-2748
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0008232
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70262
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/03/2006
Last updated
12/14/2017
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