Doctor Name: | DR. SAMUEL M LEB |
NPI Number: | 1356405989 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME4296 |
Business Practice Address: | 1600 S Federal Highway #820 Pompano Beach, FL - 330627500 |
Business Phone Number: | 9547865259 |
Business Fax Number: | |
Mailing Address: | 840 Us Highway One #210, Attn Amber Kennedy NORTH PALM BEACH |
State: | FL |
Postal Code: | 334083830 |
Phone Number: | 5616269021 |
Fax Number: | 5616267593 |
NPI Enumeration Date: | 12/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME4296 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |