Organization
KENT N LEIFER MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT NELSON LEIFER M.D. (SOLE PROPRIETOR)
(321) 452-4730
Entity
Organization
Contact information
Practice address
375 S COURTENAY PKWY, UNIT 4, MERRITT ISLAND, FL 32952-4886
(321) 452-4730
(321) 453-6681
Mailing address
375 S COURTENAY PKWY, UNIT 4, MERRITT ISLAND, FL 32952-4886
(321) 452-4730
(321) 453-6681
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
ME24381
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277294900
—
FL
Enumeration date
12/15/2015
Last updated
12/15/2015
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