Individual
HENRY ALEXANDER LEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4100 SOUTHPOINT DR E STE 2, JACKSONVILLE, FL 32216-8710
(904) 201-9887
(904) 325-6434
Mailing address
332 N LOMBARDY LOOP, SAINT JOHNS, FL 32259-5266
(904) 201-9887
(904) 325-6434
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
D64669
MD
207W00000X
Ophthalmology Physician
ME131627
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
ME131627
FL
207WX0108X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
Primary
ME131627
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009933300
—
MD
Enumeration date
07/03/2006
Last updated
07/11/2023
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