Provider Demographics
NPI:1780118349
Name:PLUMBLEE, LEAH (MD, MS)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:PLUMBLEE
Suffix:
Gender:
Credentials:MD, MS
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:
Other - Last Name:NUNEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1133 SEMINOLE DR
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-2836
Mailing Address - Country:US
Mailing Address - Phone:321-637-2975
Mailing Address - Fax:321-433-1935
Practice Address - Street 1:1133 SEMINOLE DR
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-2836
Practice Address - Country:US
Practice Address - Phone:321-637-2975
Practice Address - Fax:321-433-1935
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-20
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCNOT YET OBTAINED208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL122323400Medicaid