Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL DAVID LEACH, PA
ActiveMICHAEL DAVID LEACH, PA is a Physician Assistant healthcare provider located in GAINEVILLE, Florida. NPI 1992818504 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GAINEVILLE, FL
Registration Details
- NPI Number
- 1992818504
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 16, 2006 (19.999674125223 yrs)
- Last Updated
- Oct 27, 2016
- License
-
PA9103759 (FL)
Practice Information
- Address
-
6716 NW 11TH PLACESTE 200GAINEVILLE, FL, 326054215Browse FL providers · Browse ZIP 32605
- Phone
- 3523319729
- Fax
- 4078953608
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.