Individual
DR. LEAH BAKER BOYETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2776 CLEVELAND AVE, FORT MYERS, FL 33901
(239) 343-2606
(239) 343-3695
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-2606
(239) 343-3695
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME120217
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
592729
—
FL
Enumeration date
03/30/2012
Last updated
03/24/2021
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