Provider Demographics
NPI:1083633606
Name:ORBAN, LEONARD BAILY (MD)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:BAILY
Last Name:ORBAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14540 CORTEZ BLVD
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34613-6056
Mailing Address - Country:US
Mailing Address - Phone:352-597-8287
Mailing Address - Fax:352-597-7060
Practice Address - Street 1:14540 CORTEZ BLVD STE 108
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34613-6001
Practice Address - Country:US
Practice Address - Phone:352-597-8287
Practice Address - Fax:352-597-7060
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME55761174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist