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Mark G Leitner Dpm Pa
Foot Surgery Podiatrist in Tampa, Florida
NPI 1174781769

Mark G Leitner Dpm Pa is a Foot Surgery Podiatrist based in Brandon, FL and is specialized in Foot Surgery. Mark G Leitner Dpm Pa practices in Tampa, FL. The NPI Number for Mark G Leitner Dpm Pa is 1174781769 and holds a License No. PO2569 (Florida).

The current practice location address for Mark G Leitner Dpm Pa is 15511 N Florida Ave, Tampa, FL and can be reached out via phone at 813-963-3124.

Location: 15511 N Florida Ave, Tampa, FL, 33511-4910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174781769
Provider Name
Mark G Leitner Dpm Pa
Credential
Provider Entity Type
Organization
Address
15511 N Florida Ave, Tampa, FL, 33511-4910
Phone Number
813-963-3124
Fax Number
Provider Enumeration Date
05/30/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PO3199 01 FL MEDICAL LICENSE - JOHNSON
340534600 05 FL
65891 01 FL BCBS - JOHNSON
390319200 05 FL
65462 01 FL BCBS - LEITNER
DG1014 01 FL RAILROAD MEDICARE
PO2569 01 FL MEDICAL LICENSE - LEITNER
institution
Provider Business Practice Location Address Details
Address
15511 N Florida Ave
City
Tampa
State
Florida
Zip
33613-1263
Phone Number
813-963-3124
Fax Number
person
Provider Business Mailing Address Details
Address
15511 N Florida Ave
City
Tampa
State
Florida
Zip
33613-1263
Phone Number
813-963-3124
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
PO3199 (Florida)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
213EP1101X
License No.
PO2569 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
PO3199 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
PO2569 (Florida)
Definition
Definition to come...
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