Deirdre Leake
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
1750 Tree Blvd Suite 10
St Augustine
, Florida 32084-5715
Deirdre Leake
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
1750 Tree Blvd Suite 10
St Augustine
, Florida 32084-5715
(904) 808-8587
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Deirdre Leake
- 3 San Bartola Dr
- St Augustine, FL
- Zip : 32086-5767
- Fax : (904) 808-8587
- Phone : (904) 823-8823
Second Address
- Deirdre Leake
- 1750 Tree Blvd Suite 10
- St Augustine, FL
- Zip : 32084-5715
- Fax : (904) 810-5282
- Phone : (904) 810-5434
Reviews
FAQs
Where did Deirdre Leake attend graduate school?
Where did Deirdre Leake do her residency?
Where did Deirdre Leake do her fellowship?
Is Deirdre Leake board certified?
What type of doctor is Deirdre Leake
In what state does Deirdre Leake practice in?
Where is Deirdre Leake ’s practice located?
What is Deirdre Leake ’s gender?
Is Deirdre Leake a sole practitioner?
Is Deirdre Leake accepting new patients?
What languages does Deirdre Leake speak?
Does Deirdre Leake accept insurance?
Does Deirdre Leake offers telemedicine?
What is Deirdre Leake ’s professional license number?
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Does Deirdre Leake have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | ME91018 | FL |
| Y | 207YS0123X | Facial Plastic Surgeon | ME91018 | FL |
National Provider Identifier
| NPI | 1073617585 |
|---|---|
| Provider Name | Deirdre Leake |
| First Address | St Augustine, FL 32086-5767 |
| Second Address | St Augustine, FL 32084-5715 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/09/2006 |
| Last Update Date | 28/12/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| L56433 | (02) | FL |
| P00255496 | RAILROAD MEDICARE (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.