Individual provider · Type 1 NPI

Mark Jonathon Leach, PA-C

Medical Physician Assistant · Palm Beach Gardens, FL

NPI number 1699720763 Active

Practice location

600 Village Square Xing
Palm Beach Gardens, FL 33410-4542

Call (561) 694-9493 Map

Fax (561) 694-9064

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician 207N00000XPA9101548 (FL)
Medical Physician Assistant Primary 363AM0700XPA9101548 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1699720763

Mark Jonathon Leach, PA-C's National Provider Identifier is 1699720763, issued on May 24, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Palm Beach Gardens, FL. The record was last updated on Aug 22, 2022.