Individual
DR. LEONARD ANDREW FICHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11501 HUTCHISON BLVD STE 109, PANAMA CITY BEACH, FL 32407-3747
(850) 250-1311
(850) 250-3589
Mailing address
22207 FOX GLENN TRCE, PANAMA CITY BEACH, FL 32413-8413
(304) 545-7444
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
OS15559
FL
208600000X
Surgery Physician
OS15559
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001710946
BCBS
—
05
—
0124066000
—
WV
01
—
020045263
MEDICARE RAILROAD
WV
01
—
328397
MAMSI
—
Enumeration date
12/13/2005
Last updated
12/18/2024
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