MEDICARE: ASHLEY LEONARD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant
2	363A00000X	Physician Assistant	PA9112699	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720621600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY LEONARD PA

Provider Business Mailing Address
First Line	:	PO BOX 2147
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33902-2147
Country	:	US
Telephone Number	:	239-343-2123
Fax Number	:	239-343-2124

Provider Business Practice Location Address
First Line	:	8931 COLONIAL CENTER DR STE 400
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33905-7809
Country	:	US
Telephone Number	:	239-343-9500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2019
Last Update Date	:	06/12/2026

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Directions to “ ASHLEY LEONARD PA” Practice Location

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