Provider Demographics
NPI:1366166613
Name:LEKA, IBA
Entity type:Individual
Prefix:
First Name:IBA
Middle Name:
Last Name:LEKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7001 142ND AVE LOT 330
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-4709
Mailing Address - Country:US
Mailing Address - Phone:727-293-0835
Mailing Address - Fax:
Practice Address - Street 1:7001 142ND AVE LOT 330
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-4709
Practice Address - Country:US
Practice Address - Phone:727-293-0835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-30
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No374U00000XNursing Service Related ProvidersHome Health Aide