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Individual

LEAHA J NEVILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
49 8TH ST N, NAPLES, FL 34102-6020
(239) 436-1999
(236) 436-3788
Mailing address
PO BOX 112727, UF ORTHOPEDICS AND SPORTS MEDICINE INSTITUTE, GAINESVILLE, FL 32611
(352) 273-7394
(352) 273-7388

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO3148
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO3148
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020786800
FL
01
U7945Y
MEDICARE PTAN
Enumeration date
06/13/2006
Last updated
07/12/2017
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