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Deirdre Leake, MD
Facial Plastic Surgery Physician in St Augustine, Florida
NPI 1073617585

Deirdre Leake is a Facial Plastic Surgery Physician based in Miami Lakes, FL and is specialized in Facial Plastic Surgery. Deirdre Leake practices in St Augustine, FL and has the professional credentials of MD. The NPI Number for Deirdre Leake is 1073617585 and holds a License No. ME91018 (Florida).

The current practice location address for Deirdre Leake is 1750 Tree Blvd, St Augustine, FL and can be reached out via phone at 904-810-5434 and via fax at 904-810-5282. You can also correspond with Deirdre Leake through the mailing address at 15280 NW 79TH CT STE 200, MIAMI LAKES, FL - 33016-5873 (mailing address contact number: 305-558-3724).

Location: 1750 Tree Blvd, St Augustine, FL, 33016-5873
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073617585
Provider Name
Deirdre Leake
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1750 Tree Blvd, St Augustine, FL, 33016-5873
Phone Number
904-810-5434
Fax Number
904-810-5282
Provider Enumeration Date
09/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00255496 01 FL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1750 Tree Blvd
City
St Augustine
State
Florida
Zip
32084-5715
Phone Number
904-810-5434
Fax Number
904-810-5282
person
Provider Business Mailing Address Details
Address
1750 Tree Blvd
City
St Augustine
State
Florida
Zip
32084-5715
Phone Number
904-810-5434
Fax Number
904-810-5282
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
ME91018 (Florida)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
207YS0123X
License No.
ME91018 (Florida)
Definition
An otolaryngologist who specializes in facial plastic surgery.
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