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MARK G LEITNER DPM PA NPI 1376621888


NPI Information

NPI: 1376621888
Provider Name: MARK G LEITNER DPM PA

Doing Business As: ADVANCED FOOT AND ANKLE SPECIALISTS

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
206 BUCKINGHAM PL
SUITE 101
BRANDON, FL
ZIP 33511
Phone: (813) 571-2977
Get Directions

MARK G LEITNER DPM PA is a podiatrist in Brandon, 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 1376621888. 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:

206 BUCKINGHAM PL
SUITE 101
BRANDON, FL
ZIP 33511-910
Phone: (813) 571-2977
Fax: (813) 654-9545

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 11/1/2006 and was last updated on 9/30/2011.


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
1213E00000XPodiatristPO3199FLORIDANo
2213ES0103XPodiatristFoot & Ankle SurgeryPO3199FLORIDANo
3213ES0103XPodiatristFoot & Ankle SurgeryPO2569FLORIDANo
4213ES0131XPodiatristFoot SurgeryPO3199FLORIDANo
5213ES0131XPodiatristFoot SurgeryPO2569FLORIDANo
6213EP1101XPodiatristPrimary Podiatric MedicinePO3199FLORIDANo
7213EP1101XPodiatristPrimary Podiatric MedicinePO2569FLORIDANo
8213E00000XPodiatristPO2569FLORIDAYes

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
165462OTHERFLORIDABCBS - LEITNER
2U01289MEDICARE UPINFLORIDA
365891OTHERFLORIDABCBS - JOHNSON
4PO2569OTHERFLORIDAMEDICAL LICENSE - LEITNER
5001631400MEDICAIDFLORIDA
6DG1014OTHERFLORIDARAILROAD MEDICARE
7PO3199OTHERFLORIDAMEDICAL LICENSE - JOHNSON
8V05251MEDICARE UPINFLORIDA
9AC289MEDICARE PINFLORIDA
104724890001MEDICARE 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.