MEDICARE: DR. DANIEL J LEIZMAN M.D.

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	208100000X	Physical Medicine & Rehabilitation Physician	35-063098	OH
2	208100000X	Physical Medicine & Rehabilitation Physician	ME102427	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	250004657	OTHER	OH	MEDICARE RR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	23-00125	OTHER	OH	UNITED HEALTH CARE
4	000000126901	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1952300097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL J LEIZMAN M.D.

Provider Business Mailing Address
First Line	:	2623 S SEACREST BLVD STE 210
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-7532
Country	:	US
Telephone Number	:	561-620-1653
Fax Number	:	561-395-4551

Provider Business Practice Location Address
First Line	:	2623 S SEACREST BLVD STE 216
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-7532
Country	:	US
Telephone Number	:	561-734-5080
Fax Number	:	561-364-1849

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

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	04/05/2024

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Directions to “ DR. DANIEL J LEIZMAN M.D.” Practice Location

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