Medaris, Leigh Ann

Medaris, Leigh Ann is an individual health care provider with primary practice located at 10000 Bay Pines Blvd Building 22, Room 355, Bay Pines FL 33744. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Medaris, Leigh Ann can be contacted via phone (727) 398-6111.

Contact Information

Primary practice address
10000 Bay Pines Blvd Building 22, Room 355 Bay Pines FL 33744
Phone: (727) 398-6111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 172885 North Carolina
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 2016-00280 North Carolina

Profile Details

NPI number 1487945333
LBN Legal business name Medaris, Leigh Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2011
Last updated Oct 2nd, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1487945333 NPPES
North Carolina MEDICAID 1487945333
North Carolina MEDICAID NC2868

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