Michael David Leach, PA

NPI #1992818504 in Gaineville, Florida

Provider Information

NPI Number: 1992818504
Entity Type: Individual
Name: Michael David Leach, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 16, 2006
Last Updated: Oct 27, 2016

Practice Location

Address: 6716 NW 11TH PLACE
Address 2: STE 200
City: Gaineville
State: Florida
ZIP Code: 32605-4215
Phone: (352) 331-9729

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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