Provider Demographics
NPI:1588644967
Name:SADLER, LEAH ANNE (ARNP)
Entity Type:Individual
Prefix:MS
First Name:LEAH
Middle Name:ANNE
Last Name:SADLER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2405 SE 17TH ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-9192
Mailing Address - Country:US
Mailing Address - Phone:352-690-2171
Mailing Address - Fax:352-690-6954
Practice Address - Street 1:1111 NE 25TH AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-5675
Practice Address - Country:US
Practice Address - Phone:352-622-2221
Practice Address - Fax:352-622-4193
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1235662363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL305162500Medicaid
FL3777100001Medicare NSC
FLE8758XMedicare PIN
FLE8758VMedicare PIN
FLS66129Medicare UPIN
FLE8758WMedicare PIN
FLP00285082Medicare PIN
FLE8758TMedicare PIN
FLE8758SMedicare PIN
FLE8758UMedicare PIN