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1508686965
ELLEN R LEICHERT
BAY PINES, FL
NPI
1508686965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL 11034247)
Enumeration Date
2024-10-11
Last Update Date
2024-10-19
Business Address
ELLEN R LEICHERT PMHNP
10000 BAY PINES BOULEVARD
BAY PINES, FL 33744-8200
Phone number: 727-398-6661
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Mailing Address
ELLEN R LEICHERT PMHNP
10006 BENTLEY WAY
TAMPA, FL 33626-5141
Phone number: 727-967-4838
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