Mark Leeds, D.O., P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS7559 Issued in FL

Legal business name

MARK LEEDS, D.O., P.A.

Practice address

304 Indian Trace #528
Weston, FL 33326

Phone

(954) 776-6226

Fax

(954) 692-8120

NPI assigned

Jul 31, 2006

Last updated

Aug 8, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Jeffrey Leeds, D.O.NPI 1508836552

Title

President

Phone

(954) 776-6226

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark J Leeds, DO

  • Family Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1508836552
  Authorized official Same address or phone

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1538174941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 INDIAN TRACE #528",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "33326",
            "telephone_number": "954-776-6226",
            "fax_number": "954-692-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 INDIAN TRACE #528",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "33326",
            "telephone_number": "954-776-6226",
            "fax_number": "954-692-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK LEEDS, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "LEEDS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-776-6226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274554200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Weston, FL
• Providers in Weston, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.