Individual
MARK ANTHONY LEID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 LINCOLN AVE, LEHIGH ACRES, FL 33936-1440
(239) 634-1308
Mailing address
309 LINCOLN AVE, LEHIGH ACRES, FL 33936-1440
(239) 634-1308
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
FL
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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