Mark J Leach (NPI# 1699720763, PAC ID# 4486849593) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1699720763 |
| PAC ID by PECOS | 4486849593 |
| Professional Enrollment ID | I20101115001334 |
| Full Name | Mark J Leach |
| Organization Legal Name | WATERS EDGE DERMATOLOGY LLC |
| Address |
6250 Lantana Rd Suite 9 Lake Worth FL 33463-6609 |
| Phone Number | 5615788100 |
| Gender | M |
| Graduation Year | 2000 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6901893155 |
| Number of Group Practice Members | 68 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5101 Okeechobee Rd, Fort Pierce, FL 34947-5415 | 7725955995 | WATERS EDGE DERMATOLOGY LLC |
| 6250 Lantana Rd, Suite 9, Lake Worth, FL 33463-6609 | 5615788100 | WATERS EDGE DERMATOLOGY LLC |
| 301 Ne 19th Dr, Okeechobee, FL 34972-1911 | 8634676767 | WATERS EDGE DERMATOLOGY LLC |
| 1400 Se Goldtree Dr, Suite 107, Port St Lucie, FL 34952-7582 | 7723353550 | WATERS EDGE DERMATOLOGY LLC |
| 4108 Us Hwy 27 N, Sebring, FL 33870-1335 | 8633144407 | WATERS EDGE DERMATOLOGY LLC |
| 264 Nw Peacock Blvd, St Lucie West, FL 34986-2272 | 7723232321 | WATERS EDGE DERMATOLOGY LLC |
| 2601 S Kanner Hwy, Stuart, FL 34994-4622 | 7722192777 | WATERS EDGE DERMATOLOGY LLC |
| 440 Se Osceola St, Stuart, FL 34994-2500 | 7722192777 | WATERS EDGE DERMATOLOGY LLC |
| Organization Legal Name | WATERS EDGE DERMATOLOGY LLC |
| Physicians | 65 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan M Carp | Dermatology | Waters Edge Dermatology LLC | 6642 W Atlantic Ave, Delray Beach, FL 33446-1616 |
| Stefan Doig | Dermatology | Waters Edge Dermatology LLC | 2910 Se3rd Ct, Ocala, FL 34471-0485 |
| Christopher Spock | Dermatology | Waters Edge Dermatology LLC | 121 S State Rd, Suite 7, Wellington, FL 33414-4338 |
| Gioconda A Boaz | Physician Assistant | Waters Edge Dermatology LLC | 2685 Forest Hill Blvd, West Palm Beach, FL 33406-5930 |
| Claudia Alejandra Vera | Physician Assistant | Waters Edge Dermatology LLC | 562 N Us Hwy 27, Lady Lake, FL 32159-3776 |
| Shery M Varghese | Dermatology | Waters Edge Dermatology LLC | 590 Malabar Rd Se, Suite 2, Palm Bay, FL 32907-3108 |
| Michael T Siino | Physician Assistant | Waters Edge Dermatology LLC | 7605 Conroy Windermere Rd, Orlando, FL 32835-2646 |
| Laura B Destefano | Dermatology | Waters Edge Dermatology LLC | 2484 Caring Way, Unit C, Port Charlotte, FL 33952-5306 |
| Theodore A Schiff | Dermatology | Waters Edge Dermatology LLC | 600 Village Square Xing, Palm Beach Gardens, FL 33410-4543 |
| John Gregory Neily | Dermatology | Waters Edge Dermatology LLC | 4315 Tamiami Trl S, Venice, FL 34293-5117 |
| Street Address |
6250 LANTANA RD SUITE 9 |
| City | LAKE WORTH |
| State | FL |
| Zip | 33463-6609 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan J Beadle | Physician Assistant | Waters Edge Dermatology LLC | 6250 Lantana Rd, Suite 9, Lake Worth, FL 33463-6609 |
| Jeffrey N Johnson | Physician Assistant | Waters Edge Dermatology LLC | 6250 Lantana Rd, Suite 9, Lake Worth, FL 33463-6609 |
| Richard Gagnon | Physician Assistant | Waters Edge Dermatology LLC | 6250 Lantana Rd, Suite 9, Lake Worth, FL 33463-6609 |
| John H Levasseur | Physician Assistant | Waters Edge Dermatology LLC | 6250 Lantana Rd, Suite 9, Lake Worth, FL 33463-6609 |
| Deven Kumar | Emergency Medicine | Inphynet Contracting Services LLC | 6250 Lantana Rd, Lake Worth, FL 33463-6608 |
| Amy M Murphy | Physician Assistant | Waters Edge Dermatology LLC | 6250 Lantana Rd, Suite 9, Lake Worth, FL 33463-6609 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Louis Miller | Chiropractic | 5063 10th Ave N, Greenacres, FL 33463-2048 | |
| Douglas J Machiela | Optometry | 5493 10th Ave N, Greenacres, FL 33463-2056 | |
| Kevin Lapoff | Podiatry | 6422 Lake Worth Rd, Greenacres, FL 33463-3008 | |
| Gregory Raymond Gumberich | Chiropractic | 6426 Lake Worth Rd, Greenacres, FL 33463-3008 | |
| Adam Cherry | Optometry | 6486 Lake Worth Rd, Lake Worth Vision Center, Green Acres, FL 33463-3008 | |
| Jason Aronson | Optometry | 6486 Lake Worth Rd, Lake Worth, FL 33463-3008 | |
| Frank E Tarquini | Chiropractic | Lwc Lake Worth Pllc | 5817 Lake Worth Rd, Greenacres, FL 33463-3209 |
| Ronni Cutler | Clinical Social Worker | Ferd and Gladys Alpert Jewish Family and Childrens Svc of Plm Bch | 5887 Lake Worth Rd, Lake Worth, FL 33463-3209 |
| Tuyet-suong T Pham | Optometry | Bhakta Optometric, Inc | 5875 Lake Worth Rd, Lake Worth, FL 33463-3209 |
| Hetel Bhakta | Optometry | Bhakta Optometric, Inc | 5875 Lake Worth Rd, Lake Worth, FL 33463-3209 |
| Find all physicians in zip 33463 | |||
| City | LAKE WORTH |
| Zip Code | 33463 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LAKE WORTH + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.