Individual
JOSHUA LEIBNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2392 SE OCEAN BLVD, STUART, FL 34996-3310
(772) 419-3810
(772) 419-3811
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-2832
(772) 223-5646
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME126226
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018148400
—
FL
01
—
NPQDJ
FLORIDA BLUE
FL
Enumeration date
04/15/2011
Last updated
01/09/2017
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