Organization
MONSOUR WEAVER LEB PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT B. LEB M.D. (SECRETARY/TREASURER)
(386) 304-1212
Entity
Organization
Contact information
Practice address
1680 DUNLAWTON AVE, PORT ORANGE, FL 32127-4754
(386) 304-1212
(386) 304-8244
Mailing address
26 EMERALD CIR, ORMOND BEACH, FL 32174-4005
(386) 304-1212
(386) 304-8244
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
02/19/2008
Last updated
02/27/2008
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