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General NPI Number Information
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NPI Number | 1952300097
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Entity Type | Individual
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Provider Name | DANIEL J LEIZMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 04/05/2024
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Provider Practice Location Address
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Address Line | 2623 S SEACREST BLVD STE 216
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7532
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Country | US
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Telephone | 561-734-5080
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Fax | 561-364-1849
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Provider Business Mailing Address
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Address Line | 2623 S SEACREST BLVD STE 210
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7532
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Country | US
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Telephone | 561-620-1653
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Fax | 561-395-4551
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 35-063098
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | ME102427
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License Number State | FL
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