Doctor Name: | LEANNE CROSS |
NPI Number: | 1235228255 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | ME85724 |
Business Practice Address: | 10000 Bay Pines Blvd Bay Pines, FL - 33744 |
Business Phone Number: | 7273986661 |
Business Fax Number: | |
Mailing Address: | 1045 Commodore St, CLEARWATER |
State: | FL |
Postal Code: | 337551061 |
Phone Number: | 7277418477 |
Fax Number: | 7274897814 |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME85724 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |