Individual
DR. LEONARD S. LEICHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2457 CARE DR, STE D 100, TALLAHASSEE, FL 32308-3501
(850) 841-1166
(850) 942-5466
Mailing address
2457 CARE DR, STE D 100, TALLAHASSEE, FL 32308-3501
(850) 841-1166
(850) 942-5466
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME69965
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28474
BCBS INDIVIDUAL NUMBER
FL
05
—
379921200
—
FL
01
—
99039
BCBS GROUP NUMBER
FL
Enumeration date
05/31/2005
Last updated
04/04/2014
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