Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | ME0066200 | FL |
N | 207RH0002X | Hospice and Palliative Medicine | ME0066200 | FL |
NPI | 1285690503 |
---|---|
Provider Name | Dr. June Y Leland |
First Address | New Port Richey, FL 34652-3205 |
Second Address | New Port Richey, FL 34652-3205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 31/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F94248 | (02) | FL |