Individual
JAMES F LEITERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
1801 S 23RD ST STE 1, FORT PIERCE, FL 34950-4830
(800) 735-1178
(772) 223-6354
Mailing address
3627 SW SUNSET TRACE CIR, PALM CITY, FL 34990-3035
(724) 971-3329
(772) 223-6354
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9486122
FL
363LA2100X
Acute Care Nurse Practitioner
APRN9486122
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386939452
—
FL
Enumeration date
06/16/2011
Last updated
05/27/2025
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