DR. LEOPOLD BEJAMIN LEBLIQUE (NPI# 1790900447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790900447 |
| Entity Type | Individual |
| Full Name | DR. LEOPOLD BEJAMIN LEBLIQUE |
| Credential | MD |
| Practice Address |
264 Sw Ridgeview Pl. Lake City FL 32024 |
| Mailing Address |
Po Box 7051 Lake City FL 32055-0051 |
| Practice Telephone | 3867523768 |
| Mailing Telephone | 3867523768 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ME 43569 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
264 SW RIDGEVIEW PL. |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083170534 | Sf Brevard, LLC | Skilled Nursing Facility | 298 Sw Prosperity Place, Lake City, FL 32024 | 2019-02-20 |
| 1689103079 | Vivian Robinson | Driver | 133 Sw Maereatha Ct, Lake City, FL 32024 | 2017-06-08 |
| 1508014630 | Stephen Lewis O'steen | Physical Therapy Assistant | 146 Sw Orthopaedic Court, Lake City, FL 32024 | 2008-09-03 |
| 1598965634 | Lake City Surgery Center, LLC | Clinic/Center | 208 Sw Prosperity Place, Lake City, FL 32024 | 2007-07-18 |
| 1932308145 | Smile Designs By Charlotte Gerry | Dentist | 857 Sw Main Blvd, Suite 105, Lake City, FL 32024 | 2007-07-17 |
| 1073785911 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 1403 Spring St, Lake City, FL 32024 | 2008-04-01 |
| 1124202502 | Christina Mcghghy | Physical Therapy Assistant | 289 Sw Stonegate Terr, Suite #101, Lake City, FL 32024 | 2007-12-21 |
| 1629682133 | Paula Carol Palmer | Registered Nurse | 3857 Sw Birley Ave, Lake City, FL 32024-0003 | 2020-09-02 |
| 1831635176 | Patricia Vance | Chore Provider | 2238 Sw Salem Rd, Lake City, FL 32024-0029 | 2017-01-10 |
| 1225434566 | Todd Green | Physical Therapy Assistant | 493 Sw Mill Ln, Lake City, FL 32024-0432 | 2014-11-14 |
| Find all providers in zip 32024 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649836560 | Karimar Loumyr Sanchez | General Practice | 1037 W Us Highway 90 Ste 130, Lake City, FL 32055-3740 | 2019-05-16 |
| 1962835306 | Origins Family Medical & Weight Loss Clinic Inc | General Practice | 206 S Marion Ave, Lake City, FL 32025-7058 | 2013-08-20 |
| 1407062391 | Jose Raul Garriga-diaz I | General Practice | 7906 E Us Highway 90, Lake City, FL 32055-6290 | 2007-05-15 |
| 1013061456 | Donald Brent Hayden | General Practice | 733 Sw State Road 47, Lake City, FL 32025-0453 | 2007-01-23 |
| 1093376139 | Complete Medical Group | General Practice | 444 Sw Alachua Ave, Lake City, FL 32025-5213 | 2019-06-27 |
| 1326373606 | Brent Hayden, M.d.,p.a. | General Practice | 733 Sw State Road 47, Lake City, FL 32025-0453 | 2009-10-05 |
| 1477791465 | Karymar Del Valle Serrano | General Practice | 619 S Marion Ave, Lake City, FL 32025-5808 | 2009-01-28 |
| 1043495427 | Advanced Medical Clinics, P.C. | General Practice | 5499 Jonesboro Rd, Lake City, GA 30260-3553 | 2008-01-04 |
| 1134186455 | Carolinas Medical Alliance Inc | General Practice | 101 John St, Lake City, SC 29560-2411 | 2006-04-28 |
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|---|---|---|---|---|
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| 1982203634 | Central Florida Wellness LLC | General Practice | 15516 W Colonial Dr Ste 111, Winter Garden, FL 34787-9558 | 2020-10-23 |
| 1760080212 | Summit Health Multi Specialty of Florida LLC | General Practice | 1881 W Kennedy Blvd Ste D, Tampa, FL 33606-1611 | 2020-10-15 |
| 1376140772 | Amy Wrenn | General Practice | 155 Cranes Roost Blvd Ste 2020-a, Altamonte Springs, FL 32701-3468 | 2020-10-08 |
| 1992302574 | Avita Medical Clinic, LLC | General Practice | 14831 N Florida Ave, Tampa, FL 33613-1825 | 2020-10-06 |
| 1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
| 1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
| 1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
| 1902412786 | New Era Medical Pllc | General Practice | 628 Cleveland St Ste A, Clearwater, FL 33755-6603 | 2020-09-17 |
| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.