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Individual

DR. DANIEL J LEIZMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2623 S SEACREST BLVD STE 216, BOYNTON BEACH, FL 33435-7532
(561) 734-5080
(561) 364-1849
Mailing address
2623 S SEACREST BLVD STE 210, BOYNTON BEACH, FL 33435-7532
(561) 620-1653
(561) 395-4551

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
35-063098
OH
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME102427
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000126901
ANTHEM
OH
05
0892351
OH
01
23-00125
UNITED HEALTH CARE
OH
01
250004657
MEDICARE RR
OH
Enumeration date
07/20/2005
Last updated
04/05/2024
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