Doctor Name: | MRS. CINDY LEAHY |
NPI Number: | 1285925446 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | MA0003191 |
Business Practice Address: | 2181 Sw Bayshore Blvd Port St Lucie, FL - 34984 |
Business Phone Number: | 7728781752 |
Business Fax Number: | 7728781752 |
Mailing Address: | 2181sw Bayshore Blvd, PORT ST LUCIE |
State: | FL |
Postal Code: | 349842446 |
Phone Number: | 7728781752 |
Fax Number: | 7728781752 |
NPI Enumeration Date: | 04/22/2011 |
NPI Last Update Date: | 05/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA0003191 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |