Deirdre Leake, MD
Facial Plastic & Reconstructive Surgery · St Augustine, FL
UnclaimedMDNPI 1073617585
- Primary taxonomy
- 207YS0123X
- Enumerated
- 2006-09-13
- Practice location
- St Augustine, FL
- Last NPPES update
- 2025-06-12
State licenses
- FL · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.