| Doctor Name: | JOHN L LEY |
| NPI Number: | 1164478053 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | PA2591 |
| Business Practice Address: | 1340 Tuskawilla Rd Suite 101-105 Winter Springs, FL - 327085030 |
| Business Phone Number: | 4076991160 |
| Business Fax Number: | 4076997861 |
| Mailing Address: | 1340 Tuskawilla Rd, Suite 101-105 WINTER SPRINGS |
| State: | FL |
| Postal Code: | 327085030 |
| Phone Number: | 4076991160 |
| Fax Number: | 4076997861 |
| NPI Enumeration Date: | 05/25/2006 |
| NPI Last Update Date: | 08/17/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA2591 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |