Individual
MRS. AUDRA ELLEN LEEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10150 HIGHLAND MANOR DR STE 205, TAMPA, FL 33610-9727
(813) 259-1013
(813) 254-0396
Mailing address
10150 HIGHLAND MANOR DR STE 205, TAMPA, FL 33610-9727
(813) 259-1013
(813) 254-0396
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106328
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9106328
FLORIDA LICENSE
FL
Enumeration date
10/10/2011
Last updated
05/04/2026
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