Individual
KENT N LEIFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
375 S COURTENAY PKWY, UNIT 4, MERRITT ISLAND, FL 32952-4886
(321) 452-4730
(321) 453-6681
Mailing address
375 S COURTENAY PKWY, UNIT 4, MERRITT ISLAND, FL 32952-4886
(321) 452-4730
(321) 453-6681
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
ME24381
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AETNA 4028111
AETNA INSURANCE
FL
Enumeration date
09/13/2005
Last updated
10/04/2011
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