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Mark G Leitner Dpm
Foot Surgery Podiatrist in Brandon, Florida
NPI 1366600959

Mark G Leitner Dpm is a Foot Surgery Podiatrist based in Valrico, FL and is specialized in Foot Surgery. Mark G Leitner Dpm practices in Brandon, FL. The NPI Number for Mark G Leitner Dpm is 1366600959 and holds a License No. PO2569 (Florida).

The current practice location address for Mark G Leitner Dpm is 132 S Moon Ave, Brandon, FL and can be reached out via phone at 813-571-2977. You can also correspond with Mark G Leitner Dpm through the mailing address at 3638 LITHIA PINECREST RD, VALRICO, FL - 33596-6305 (mailing address contact number: 813-657-9669).

Location: 132 S Moon Ave, Brandon, FL, 33596-6305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366600959
Provider Name
Mark G Leitner Dpm
Credential
Provider Entity Type
Organization
Address
132 S Moon Ave, Brandon, FL, 33596-6305
Phone Number
813-571-2977
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
340534600 05 FL
PO3199 01 FL MEDICAL LICENSE - JOHNSON
65462 01 FL BCBS - LEITNER
DG1014 01 FL RAILROAD MEDICARE
65891 01 FL BCBS - JOHNSON
390319200 05 FL
PO2569 01 FL MEDICAL LICENSE - LEITNER
institution
Provider Business Practice Location Address Details
Address
132 S Moon Ave
City
Brandon
State
Florida
Zip
33511-5110
Phone Number
813-571-2977
Fax Number
person
Provider Business Mailing Address Details
Address
3638 Lithia Pinecrest Rd
City
Valrico
State
Florida
Zip
33596-6305
Phone Number
813-657-9669
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.
PO3189 (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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