Leder Retina & Uveitis Specialist

LBN: Leder Retina
Leder Retina & Uveitis Specialist is an health care organization with primary practice located at 13241 Bartram Park Blvd Unit 809 , Jacksonville FL 32258-5216. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Uveitis and Ocular Inflammatory Disease, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Ophthalmologic Surgery. Allopathic & Osteopathic Physicians / Retina Specialist is the primary health care specialty. Leder Retina can be contacted via phone (904) 201-9887, or through Leder, Henry Alexander via phone (904) 201-9887.

Contact Information

Primary practice address
13241 Bartram Park Blvd Unit 809 Jacksonville FL 32258-5216
Phone: (904) 201-9887
Fax: (904) 325-6434
Website:
Map and Directions
Authorized official contact:
Name: Leder, Henry Alexander Doctor of Medicine (MD)
Phone: (904) 201-9887

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X
Allopathic & Osteopathic Physicians / Uveitis and Ocular Inflammatory Disease 207WX0108X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X D64669 Maryland
Ambulatory Health Care Facilities / Ophthalmologic Surgery 261QS0132X D64669 Maryland

Profile Details

NPI number 1609398916
LBN Legal business name Leder Retina
DBA Doing business as Leder Retina & Uveitis Specialist
Authorized official Leder, Henry Alexander Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2017
Last updated Apr 2nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609398916 NPPES
Florida MEDICAID 048036300

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