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Contact Information

MARTY R LEGGETT OD PA
309 W MAIN ST.
LEESBURG, FL34748
 Phone: 352-391-2967
 Fax: 352-391-2967
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MARTY R LEGGETT OD PA · (Female)

NPI # 1275716433
Status Active
Credentials
Entity Individual
Enumeration date 12/11/2007
Last updated 01/02/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # OC0002242
  • FL License # OPC2242
  • FL Medicaid 078819800
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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