MEDICARE: STEPHEN A LESCHAK MD

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	2085R0204X	Vascular & Interventional Radiology Physician	26915	MS
2	2085R0204X	Vascular & Interventional Radiology Physician	53980	TN
3	2085R0204X	Vascular & Interventional Radiology Physician	MD44599	AL
4	202K00000X	Phlebology Physician	ME144270	FL
5	2085R0204X	Vascular & Interventional Radiology Physician	ME144270	FL
6	2085R0204X	Vascular & Interventional Radiology Physician	E-17494	AR
7	2085R0204X	Vascular & Interventional Radiology Physician	59586	AZ
8	2085R0204X	Vascular & Interventional Radiology Physician	MD055735L	PA
9	2085R0204X	Vascular & Interventional Radiology Physician	S1850	TX

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	:	1760430029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN A LESCHAK MD

Provider Business Mailing Address
First Line	:	3820 NORTHDALE BLVD STE 201
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-1893
Country	:	US
Telephone Number	:	800-991-6117
Fax Number	:

Provider Business Practice Location Address
First Line	:	2290 10TH AVE N STE 101
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-6609
Country	:	US
Telephone Number	:	800-991-6117
Fax Number	:

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

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	10/22/2025

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Directions to “ STEPHEN A LESCHAK MD” Practice Location

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