Individual
MRS. LEIGH ANN TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6101 LAKE ELLENOR DR, SUITE 105, ORLANDO, FL 32809-4616
(407) 322-8645
(407) 322-8725
Mailing address
6101 LAKE ELLENOR DR, SUITE 105, ORLANDO, FL 32809-4616
(407) 322-8645
(407) 322-8725
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9180329
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01233921
AMERIGROUP
FL
05
—
308690900
—
FL
01
—
479547
WELLCARE
FL
Enumeration date
09/27/2006
Last updated
03/14/2013
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