MEDICARE: DR. MARK G LEITNER DPM

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	213E00000X	Podiatrist	PO2569	FL
2	213ES0103X	Foot & Ankle Surgery Podiatrist	PO2569	FL
3	213ES0131X	Foot Surgery Podiatrist	PO2569	FL
4	213EP1101X	Primary Podiatric Medicine Podiatrist	PO2569	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00415451	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	202703	OTHER	FL	AMERIGROUP
3	10172301	OTHER	FL	CITRUS
4	864973	OTHER	FL	UHC
5	76166	OTHER	FL	BEECHSTREET
6	PO2569	OTHER		LICENSE NO
7	1006007	OTHER	FL	HEALTHNET/CAREPLUS
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	4961325	OTHER	FL	CIGNA
10	65462	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1962401067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK G LEITNER DPM

Provider Business Mailing Address
First Line	:	206 BUCKINGHAM PL
Second Line	:	SUITE 101
City	:	BRANDON
State	:	FL
Zip	:	33511-4910
Country	:	US
Telephone Number	:	813-571-2977
Fax Number	:	813-654-9545

Provider Business Practice Location Address
First Line	:	206 BUCKINGHAM PL
Second Line	:	SUITE 101
City	:	BRANDON
State	:	FL
Zip	:	33511-4910
Country	:	US
Telephone Number	:	813-571-2977
Fax Number	:	813-654-9545

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

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	09/30/2011

Similar Medicare Providers

1376621888 — MARK G LEITNER DPM PA
Practice Location Address:

206 BUCKINGHAM PL , SUITE 101
BRANDON, FL
33511-4910

Practice Phone: 813-571-2977
Practice Fax: 813-654-9545

1639257207 — BRANDI M JOHNSON DPM
Practice Location Address:

206 BUCKINGHAM PL , SUITE 101
BRANDON, FL
33511-4910

Practice Phone: 813-571-2977
Practice Fax: 813-654-9545

1770826745 — FRANCES JACINTO ACOSTA M.D.
Practice Location Address:

206 BUCKINGHAM PL STE 102
BRANDON, FL
33511-4910

Practice Phone: 813-653-2020
Practice Fax: 813-653-2205

1407276991 — JAMES MASON
Practice Location Address:

119 OAKFIELD DR
BRANDON, FL
33511-5779

Practice Phone: 904-399-5800
Practice Fax:

1730566076 — SARAH TEDDER
Practice Location Address:

126 LITHIA PINECREST RD
BRANDON, FL
33511-5347

Practice Phone: 813-689-8828
Practice Fax:

1366393712 — INTEGRAONE LLC
Practice Location Address:

1108 BELL SHOALS RD
BRANDON, FL
33511-8813

Practice Phone: 813-359-8787
Practice Fax: 813-359-8788

Directions to “ DR. MARK G LEITNER DPM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.