Individual provider Active NPI

Leonel Edwards, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Leesburg, FL
National Provider Identifier
1265453963
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
113888 Issued in FL
Practice address
1456 William St
Leesburg, FL 34748-3824
Phone
(352) 365-4562
Fax
(352) 365-4562
NPI assigned
Jul 21, 2006
Last updated
May 22, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 113888 FL Primary

Addresses

Primary practice location

1456 William St
Leesburg, FL 34748-3824

Mailing address

1456 William St
Leesburg, FL 34748-3824
Phone (352) 365-4562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130612000450 FL Practitioner - Pathology 0446433833 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Regional Laboratories Pathology Services, LLCGroup PAC ID 9133244346, 132 clinicians
East Coast Pathology of Florida, PAGroup PAC ID 1355518812, 11 clinicians

Practice addresses (Care Compare)

11375 Cortez Blvd
Brooksville, FL 34613-5409
Phone (352) 597-7083

1796 Hwy 441 N
Okeechobee, FL 34972-1918
Phone (863) 824-2975

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-3523

8300 Red Bug Lake Rd
Oviedo, FL 32765-6801
Phone (407) 890-2179

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
113888FLMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Dec 3, 2017 Accepting new patients
East Coast Pathology of Florida, PA Anatomic Pathology & Clinical Pathology CurrentSince Nov 1, 2022 Accepting new patients
Gastro Health, LLC CurrentSince Sep 10, 2023 Accepting new patients
Gastroenterology Consultants of Polk County PA CurrentSince May 28, 2017 Accepting new patients
Memorial Hospital-West Volusia Inc Current Accepting new patients
Millennium Physician Group LLC CurrentSince Dec 3, 2017 Accepting new patients
Integrated Regional Laboratories Pathology Services, LLC Anatomic Pathology & Clinical Pathology CurrentSince Sep 2, 2019 Accepting new patients
West Central Gastroenterology LLP PastSince Jan 1, 2017 Accepting new patients
Healthpoint Medical Group Inc PastSince Jan 1, 2017 Accepting new patients

Locations

101 Park Place Blvd
Ste B
Davenport, FL 33837
Phone (863) 419-1166

301 Memorial Medical Pkwy
Daytona Beach, FL 32117
Phone (386) 231-3906

701 W Plymouth Ave
Deland, FL 32720
Phone (386) 943-3160

15740 New Hampshire Ct
Ste B
Fort Myers, FL 33908
Phone (239) 415-1100

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

401 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 424-5000

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

1 Adventhealth Way
Palm Coast, FL 32137
Phone (330) 414-9233

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1265453963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 WILLIAM ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347483824",
            "telephone_number": "352-365-4562",
            "fax_number": "352-789-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 WILLIAM ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347483824",
            "telephone_number": "352-365-4562",
            "fax_number": "352-365-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "LEONEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "113888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.