IKER LEYCEGUI, M.D., P.A.
Osteopathic Medicine at Central Park, Fort Pierce, FL

License number
Florida ME95881
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. IKER LEYCEGUI M.D.
Title: DIRECTOR, SOLE OWNER, PHYSICIAN
Phone: (772) 873-1919
Address
Address
145 Central Park Plz WEST SUITE 101, Fort Pierce, FL 34986
National Provider ID: 1427380708
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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IKER LEYCEGUI, MD, PA

Fort Pierce, FL

Industry:
Home Health Care Services
Registration:
Oct 28, 2009
Addresses:
145 NW Central Park Plz 101, Port Saint Lucie, FL 34986 (Physical)
Port Saint Lucie, FL 34988 (Mailing)
145 NW Central Park Plz, Fort Pierce, FL 34986
PO Box 880472, Fort Pierce, FL 34988
State ID:
P09000089299
Business type:
Florida Profit Corporation
Director, Internal Medicine, Medical Doctor, Principal, President:
Iker Md Leycegui (Director, Internal Medicine, Medical Doctor, Principal, President), 11415 SW Aventino Dr, Port Saint Lucie, FL 34987 (Physical)
Agent:
Iker Leycegui,8242 Martingale Ln, Port Saint Lucie, FL 34986 (Physical)
EIN:
271207627

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