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Individual

DR. GEORGE LEIDEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3600 S HIGHLANDS AVE, SEBRING, FL 33870-5416
(772) 581-6226
(772) 581-5771
Mailing address
PO BOX 741087, ATLANTA, GA 30374-1087
(863) 314-5849
(863) 385-2702

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME56908
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11867
BLUE CROSS
FL
Enumeration date
01/05/2007
Last updated
05/19/2022
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