Healthcare Provider Details

I. General information

NPI: 1891451951
Provider Name (Legal Business Name): LEAH DASH DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/12/2021
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

956 INTERNATIONAL PKWY # 1580
LAKE MARY FL
32746-5219
US

IV. Provider business mailing address

148 MAJESTIC FOREST RUN
SANFORD FL
32771-7172
US

V. Phone/Fax

Practice location:
  • Phone: 561-290-2645
  • Fax:
Mailing address:
  • Phone: 561-373-2407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6185
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL316922
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: