Individual
ANDREA L LEATHERS MURMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6100 MINTON RD NW STE 104, PALM BAY, FL 32907-1900
(321) 724-1172
(575) 472-4313
Mailing address
6100 MINTON RD NW STE 104, PALM BAY, FL 32907-1900
(321) 724-1172
(575) 472-4313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME124520
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015545000
—
FL
Enumeration date
06/16/2009
Last updated
05/02/2018
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