Individual
DR. KATHLEEN LEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2835 WEST DELEON STREET, SUITE 201, TAMPA, FL 33609
(813) 350-0700
(813) 350-0703
Mailing address
2835 WEST DELEON STREET, SUITE 201, TAMPA, FL 33609
(813) 350-0700
(813) 350-0703
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME80446
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204098396
TAX ID
FL
01
—
49391
BCBS
FL
01
—
P00311628
MEDICARE RR
FL
Enumeration date
03/14/2006
Last updated
05/13/2010
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