Individual
JENNIFER LECKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12550 BISCAYNE BLVD, NORTH MIAMI, FL 33181-2541
(305) 945-2411
Mailing address
19540 NE 26TH AVE, MIAMI, FL 33180-2205
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 9106557
FL
Other
Enumeration date
08/29/2012
Last updated
06/09/2014
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