<Unavail>
LBN: Leder Retina
<Unavail> is an health care organization with primary practice located at 13241 Bartram Park Blvd Unit 809 , Jacksonville FL 32258-5216. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Uveitis and Ocular Inflammatory Disease, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Ophthalmologic Surgery. Allopathic & Osteopathic Physicians / Retina Specialist is the primary health care specialty.
Leder Retina can be contacted via phone (904) 201-9887, or through Leder, Henry Alexander via phone (904) 201-9887.
Contact Information
Primary practice address
13241 Bartram Park Blvd Unit 809
Jacksonville FL 32258-5216
Phone: (904) 201-9887
Fax: (904) 325-6434
Website:
Authorized official contact:
Name: Leder, Henry Alexander Doctor of Medicine (MD)
Phone: (904) 201-9887
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | ||
| Allopathic & Osteopathic Physicians / Uveitis and Ocular Inflammatory Disease | 207WX0108X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | D64669 | Maryland |
| Ambulatory Health Care Facilities / Ophthalmologic Surgery | 261QS0132X | D64669 | Maryland |
Profile Details
| NPI number | 1609398916 |
|---|---|
| LBN Legal business name | Leder Retina |
| DBA Doing business as | <Unavail> |
| Authorized official | Leder, Henry Alexander Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 10th, 2017 |
| Last updated | Apr 2nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609398916 | NPPES |
| Florida | MEDICAID | 048036300 |
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