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NPI Code Detail

MEDICARE: MRS. MICHELE THOMAS LEETE

MEDICARE: MRS. MICHELE THOMAS LEETE
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
1225100000XPhysical TherapistPT 7947FL

Other Identifiers

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

General Provider Information

NPI Number : 1851441521
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELE THOMAS LEETE
Provider Business Mailing Address
First Line : 1312 SE 11TH ST
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33316-1339
Country : US
Telephone Number : 954-658-6767
Fax Number :
Provider Business Practice Location Address
First Line : 550 SE 4TH CT
Second Line :
City : DANIA BEACH
State : FL
Zip : 33004-4738
Country : US
Telephone Number : 954-925-7034
Fax Number : 954-925-7034
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2007
Last Update Date : 07/09/2007

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Directions to “ MRS. MICHELE THOMAS LEETE ” Practice Location

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