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MARK G LEITNER DPM PA NPI 1174781769


NPI Information

NPI: 1174781769
Provider Name: MARK G LEITNER DPM PA

Doing Business As: ADVANCED FOOT AND ANKLE SPECIALISTS

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
15511 N FLORIDA AVE
SUITE B2
TAMPA, FL
ZIP 33613
Phone: (813) 963-3124
Get Directions

MARK G LEITNER DPM PA is a podiatrist in Tampa, FL. The provider is 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. MARK G LEITNER DPM PA NPI is 1174781769. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Advanced Foot And Ankle Specialists.

The provider's business location address is:

15511 N FLORIDA AVE
SUITE B2
TAMPA, FL
ZIP 33613-263
Phone: (813) 963-3124

The provider's authorized official is Mark G Leitner .
The authorized official title is Medical Director and has the following contact phone number (813) 571-2977.

The enumeration date for this NPI number is 5/30/2008 and was last updated on 11/6/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristPO2569FLORIDANo
2213EP1101XPodiatristPrimary Podiatric MedicinePO2569FLORIDANo
3213EP1101XPodiatristPrimary Podiatric MedicinePO3199FLORIDANo
4213ES0103XPodiatristFoot & Ankle SurgeryPO2569FLORIDANo
5213ES0103XPodiatristFoot & Ankle SurgeryPO3199FLORIDANo
6213ES0131XPodiatristFoot SurgeryPO2569FLORIDANo
7213ES0131XPodiatristFoot SurgeryPO3199FLORIDANo
8213E00000XPodiatristPO3199FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
165891OTHERFLORIDABCBS - JOHNSON
2V05251MEDICARE UPINFLORIDA
3U01289MEDICARE UPINFLORIDA
44724890001MEDICARE NSCFLORIDA
565462OTHERFLORIDABCBS - LEITNER
6390319200MEDICAIDFLORIDA
7AC289MEDICARE PINFLORIDA
8PO2569OTHERFLORIDAMEDICAL LICENSE - LEITNER
9PO3199OTHERFLORIDAMEDICAL LICENSE - JOHNSON
10340534600MEDICAIDFLORIDA
11DG1014OTHERFLORIDARAILROAD MEDICARE
125547390001MEDICARE NSCFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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