Individual
DAVID JAMES LEAVENGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1716 PALM AIRE DR, LADY LAKE, FL 32159-2235
(353) 292-2262
Mailing address
1716 PALM AIRE DR, LADY LAKE, FL 32159-2235
(353) 292-2262
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO7274
FL
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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