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Individual

DR. MARK G LEITNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
206 BUCKINGHAM PL STE 101, BRANDON, FL 33511-4910
(813) 571-2977
(813) 654-9545
Mailing address
15815 SHADDOCK DR STE 130, WINTER GARDEN, FL 34787-5773
(407) 605-2321
(407) 671-4155

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2569
FL
213EP1101X
Primary Podiatric Medicine Podiatrist
PO2569
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO2569
FL
213ES0131X
Foot Surgery Podiatrist
PO2569
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1006007
HEALTHNET/CAREPLUS
FL
01
10172301
CITRUS
FL
01
202703
AMERIGROUP
FL
05
390319200
FL
01
4961325
CIGNA
FL
01
65462
BCBS
FL
01
76166
BEECHSTREET
FL
01
864973
UHC
FL
01
P00415451
RAILROAD MEDICARE
FL
01
PO2569
LICENSE NO
Enumeration date
07/20/2005
Last updated
04/13/2026
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