Healthcare Provider Details

I. General information

NPI: 1487095980
Provider Name (Legal Business Name): JOSEPH HIRAM LEAMAN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2013
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3250 ZEMKE AVE
TAMPA FL
33621-5023
US

IV. Provider business mailing address

14311 METROPOLIS AVE STE 102
FORT MYERS FL
33912-4442
US

V. Phone/Fax

Practice location:
  • Phone: 813-827-4985
  • Fax: 813-827-1512
Mailing address:
  • Phone: 239-768-0127
  • Fax: 239-768-0671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number006658
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberOT015416
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS14530
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: