Leach, Mark Jonathon
Leach, Mark Jonathon is an individual health care provider with primary practice located at 600 Village Square Xing , Palm Beach Gardens FL 33410-4542. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Leach, Mark Jonathon can be contacted via phone (561) 694-9493.Contact Information
Primary practice address
600 Village Square Xing
Palm Beach Gardens FL 33410-4542
Phone: (561) 694-9493
Fax: (561) 694-9064
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | PA9101548 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9101548 | Florida |
Profile Details
NPI number | 1699720763 |
---|---|
LBN Legal business name | Leach, Mark Jonathon |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 24th, 2006 |
Last updated | Aug 22nd, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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