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Leder Retina
Ophthalmologic Surgery Clinic/Center in Jacksonville, Florida
NPI 1609398916

Leder Retina is a Ophthalmologic Surgery Clinic/Center based in Fruit Cove, FL and is specialized in Ophthalmologic Surgery. Leder Retina practices in Jacksonville, FL. The NPI Number for Leder Retina is 1609398916 and holds a License No. (Florida).

The current practice location address for Leder Retina is 13241 Bartram Park Blvd Unit 809, Jacksonville, FL and can be reached out via phone at 904-201-9887 and via fax at 904-325-6434.

Location: 13241 Bartram Park Blvd Unit 809, Jacksonville, FL, 32259-5266
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609398916
Provider Name
Leder Retina
Credential
Provider Entity Type
Organization
Address
13241 Bartram Park Blvd Unit 809, Jacksonville, FL, 32259-5266
Phone Number
904-201-9887
Fax Number
904-325-6434
Provider Enumeration Date
07/10/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
048036300 05 FL
institution
Provider Business Practice Location Address Details
Address
13241 Bartram Park Blvd Unit 809
City
Jacksonville
State
Florida
Zip
32258-5216
Phone Number
904-201-9887
Fax Number
904-325-6434
person
Provider Business Mailing Address Details
Address
13241 Bartram Park Blvd Unit 809
City
Jacksonville
State
Florida
Zip
32258-5216
Phone Number
904-201-9887
Fax Number
904-325-6434
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
Retina Specialist
Taxonomy
207WX0107X
License No.
D64669 (Maryland)
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
Uveitis and Ocular Inflammatory Disease
Taxonomy
207WX0108X
License No.
D64669 (Maryland)
Definition
An ophthalmologist who specializes in the treatment of intraocular inflammation, scleritis, keratitis and infectious disorders affecting the eye and inflammatory disorders of the adnexa and/or orbit.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ophthalmologic Surgery
Taxonomy
261QS0132X
License No.
()
Definition
Definition to come...
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