Tabor, Leigh Ann
Tabor, Leigh Ann is an individual health care provider with primary practice located at 6101 Lake Ellenor Dr Suite 105, Orlando FL 32809-4616. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Tabor, Leigh Ann can be contacted via phone (407) 322-8645.Contact Information
Primary practice address
6101 Lake Ellenor Dr Suite 105
Orlando FL 32809-4616
Phone: (407) 322-8645
Fax: (407) 322-8725
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | ARNP9180329 | Florida |
Profile Details
| NPI number | 1669563151 |
|---|---|
| LBN Legal business name | Tabor, Leigh Ann |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Mar 14th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669563151 | NPPES |
| Florida | Other | 01233921 | AMERIGROUP |
| Florida | MEDICAID | 308690900 | AMERIGROUP |
| Florida | Other | 479547 | AMERIGROUP |
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