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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669563151 NPPES
Florida Other 01233921 AMERIGROUP
Florida MEDICAID 308690900 AMERIGROUP
Florida Other 479547 AMERIGROUP

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