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Dr. Mark G Leitner, DPM
Primary Podiatric Medicine Podiatrist in Brandon, Florida
NPI 1962401067

Mark G Leitner is a Primary Podiatric Medicine Podiatrist based in Brandon, FL and is specialized in Primary Podiatric Medicine. Mark G Leitner practices in Brandon, FL and has the professional credentials of DPM. The NPI Number for Mark G Leitner is 1962401067 and holds a License No. PO2569 (Florida).

The current practice location address for Mark G Leitner is 206 Buckingham Pl, Brandon, FL and can be reached out via phone at 813-571-2977 and via fax at 813-654-9545.

Location: 206 Buckingham Pl, Brandon, FL, 33511-4910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962401067
Provider Name
Mark G Leitner
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
206 Buckingham Pl, Brandon, FL, 33511-4910
Phone Number
813-571-2977
Fax Number
813-654-9545
Provider Enumeration Date
07/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00415451 01 FL RAILROAD MEDICARE
202703 01 FL AMERIGROUP
10172301 01 FL CITRUS
864973 01 FL UHC
76166 01 FL BEECHSTREET
PO2569 01 LICENSE NO
1006007 01 FL HEALTHNET/CAREPLUS
390319200 05 FL
4961325 01 FL CIGNA
65462 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
206 Buckingham Pl
City
Brandon
State
Florida
Zip
33511-4910
Phone Number
813-571-2977
Fax Number
813-654-9545
person
Provider Business Mailing Address Details
Address
206 Buckingham Pl
City
Brandon
State
Florida
Zip
33511-4910
Phone Number
813-571-2977
Fax Number
813-654-9545
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
PO2569 (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.
PO2569 (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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