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Emily Leech, PA-c

Physician Assistant, Medical in Vero Beach, FL. Individual provider (NPI-1).

NPI number1346716743
StatusActive
Last updated in NPPESJan 21, 2019

Details

NPI
1346716743
Entity type
Individual (NPI-1)
Name
Emily Leech
Credential
PA-c
Sex
Female
Sole proprietor
No
Enumeration date
Oct 23, 2018
Last updated
Jan 21, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, MedicalPA9111751FLYes
363A00000X Physician AssistantPAX000015159FL

Practice location

640 21st St
Vero Beach, FL 32960-0933

Phone 772-299-1092

Mailing address

2562 Cheval St Apt 107
Orlando, FL 32828-7634

Phone 814-795-9854

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