John Robert Leibach, MD
Internal Medicine, Gastroenterology in Gainesville, FL. Individual provider (NPI-1).
NPI number1104841840
StatusActive
Last updated in NPPESSep 18, 2020
Details
- NPI
- 1104841840
- Entity type
- Individual (NPI-1)
- Name
- John Robert Leibach
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2006
- Certification date
- Sep 18, 2020
- Last updated
- Sep 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | ME0023160 | FL | Yes |
Practice location
6400 W Newberry RdSuite 302
Gainesville, FL 32605
Phone 352-331-8902
Mailing address
6400 W Newberry RdSuite 308
Gainesville, FL 32605
Phone 352-331-8902 · Fax 352-332-7832
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