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NPI Code Detail

MEDICARE: DESIREE ARIELLE LEIGH APRN

MEDICARE:   DESIREE ARIELLE LEIGH  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
1363LF0000XFamily Nurse PractitionerAPRN11016996FL

General Provider Information

NPI Number : 1417617960
Entity Type Code : Individual
Provider Name (Legal Business Name) : DESIREE ARIELLE LEIGH APRN
Provider Business Mailing Address
First Line : 12315 LAKE UNDERHILL RD STE A
Second Line :
City : ORLANDO
State : FL
Zip : 32828-4507
Country : US
Telephone Number : 407-380-8700
Fax Number : 407-380-7043
Provider Business Practice Location Address
First Line : 12315 LAKE UNDERHILL RD STE A
Second Line :
City : ORLANDO
State : FL
Zip : 32828-4507
Country : US
Telephone Number : 407-380-8700
Fax Number : 407-380-7043
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2021
Last Update Date : 03/12/2026

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Directions to “ DESIREE ARIELLE LEIGH APRN” Practice Location

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