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Individual

DR. DORIS MARGARITA LEEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5270 BABCOCK ST NE STE 1, PALM BAY, FL 32905-4616
(321) 676-5996
(321) 676-5926
Mailing address
PO BOX 1137, MELBOURNE, FL 32902-1137
(321) 952-9696
(321) 952-7937

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME63747
FL
2080P0205X
Pediatric Endocrinology Physician
ME63747
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18683
BLUE CROSS BLUE SHEILD
FL
05
372797100
FL
01
3736201002
CIGNA
FL
01
593520087
HEALTH FIRST
FL
01
632833
AETNA
FL
Enumeration date
01/10/2006
Last updated
07/21/2022
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