MEDICARE: LEISY STRACHAN APRN

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
1	363LF0000X	Family Nurse Practitioner	F12240310	FL

General Provider Information

NPI Number	:	1063229961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEISY STRACHAN APRN

Provider Business Mailing Address
First Line	:	10271 SW 72ND ST STE D-102
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-3024
Country	:	US
Telephone Number	:	305-239-3662
Fax Number	:	305-928-8846

Provider Business Practice Location Address
First Line	:	10271 SW 72ND ST STE D-102
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-3024
Country	:	US
Telephone Number	:	305-239-3662
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2024
Last Update Date	:	01/21/2025

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Directions to “ LEISY STRACHAN APRN” Practice Location

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