Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEDER RETINA
Active OrganizationLEDER RETINA is a Sports Medicine (Emergency) organization located in JACKSONVILLE, Florida. NPI 1609398916 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1609398916
- Provider Type
- Organization
- NPI Issued
- Jul 10, 2017 (9.1279242249451 yrs)
- Last Updated
- Apr 2, 2020
- Licenses
-
D64669 (MD)D64669 (MD)
Practice Information
- Address
-
13241 BARTRAM PARK BLVD UNIT 809JACKSONVILLE, FL, 322585216Browse FL providers · Browse ZIP 32258
- Phone
- 9042019887
- Fax
- 9043256434
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
- Additional Specialty
- 207WX0108X
- Additional Specialty
- Clinic/Center
- Additional Specialty
- Sports Medicine (Emergency)
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.