Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deirdre Leake, MD

Individual provider Otolaryngology Physician · NPI 1073617585

Deirdre Leake, MD is an Otolaryngology in St Augustine, Florida. Graduated from University of Tennessee, Hsc, College of Medicine in 1998, 28 years ago. Practices with Florida ENT Associates Inc, a 159-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
28
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1750 Tree Blvd Ste 10
St Augustine, FL 32084-5715
Phone: (904) 810-5434
Fax: (904) 810-5282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Facial Plastic Surgery Physician (primary) Taxonomy 207YS0123X · Licence ME91018 (FL)
Otolaryngology Physician Taxonomy 207Y00000X · Licence ME91018 (FL)

Record details

NPI number1073617585
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 13, 2006
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025
Mailing address15280 Nw 79th Ct Ste 200, Miami Lakes, FL 33016-5873

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Also practisesPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Florida Ent Associates Inc — 159 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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