Healthcare Provider Details

I. General information

NPI: 1528923794
Provider Name (Legal Business Name): LEENAMD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 W INDIANTOWN RD STE 107
JUPITER FL
33458-3548
US

IV. Provider business mailing address

240 W INDIANTOWN RD STE 107
JUPITER FL
33458-3548
US

V. Phone/Fax

Practice location:
  • Phone: 561-486-8400
  • Fax: 561-486-6854
Mailing address:
  • Phone: 561-486-8400
  • Fax: 561-486-6854

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: LEENA RAMANI
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 561-486-8400