Individual
ERIC NICHOLS LEEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
76 UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 841-7550
(321) 841-1569
Mailing address
76 UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 841-7550
(321) 841-1569
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9111982
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1160154
PHYSICIAN ASSISTANT CERTIFICATION
—
01
—
PA9111982
PHYSICIAN ASSISTANT LICENCE
FL
Enumeration date
02/08/2019
Last updated
05/30/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us