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Individual

DR. DANIEL LEETRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-9412
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-9412

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
243243
AK
183700000X
Pharmacy Technician
Primary

Other

Enumeration date
12/01/2021
Last updated
03/23/2026
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