Basic Information
Provider Information
NPI: 1659414340
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LEFLER
FirstName: LINDA
MiddleName: ANN
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10905 SPUR CT
Address2:  
City: TAMPA
State: FL
PostalCode: 336263710
CountryCode: US
TelephoneNumber: 8138149141
FaxNumber: 8138542805
Practice Location
Address1: 4024 CENTRAL AVE
Address2:  
City: SAINT PETERSBURG
State: FL
PostalCode: 337111239
CountryCode: US
TelephoneNumber: 7273277656
FaxNumber: 7273238978
Other Information
ProviderEnumerationDate: 02/14/2007
LastUpdateDate: 10/10/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XME0050988FLY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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