Provider Demographics
NPI:1043390875
Name:LEEMAN, DOUGLAS ROBERT (PA-C, MPH)
Entity Type:Individual
Prefix:MR
First Name:DOUGLAS
Middle Name:ROBERT
Last Name:LEEMAN
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Gender:M
Credentials:PA-C, MPH
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Mailing Address - Street 1:10383 HAGEN RANCH RD
Mailing Address - Street 2:STE 100
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-3782
Mailing Address - Country:US
Mailing Address - Phone:561-739-5252
Mailing Address - Fax:561-739-5255
Practice Address - Street 1:10301 HAGEN RANCH RD
Practice Address - Street 2:SUITE 550
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-3724
Practice Address - Country:US
Practice Address - Phone:561-739-5252
Practice Address - Fax:561-739-5255
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2020-05-08
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Provider Licenses
StateLicense IDTaxonomies
FL9102132363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical