Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark Jonathon Leach, PA-C

Individual provider Dermatology Physician · NPI 1699720763

Mark Jonathon Leach, PA-C is a Physician Assistant in Palm Beach Gardens, Florida. Qualified in 2000, 26 years ago. Practices with Aqua Dermatology of Florida, PA, a 184-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
26
Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

600 Village Square Xing
Palm Beach Gardens, FL 33410-4542
Phone: (561) 694-9493
Fax: (561) 694-9064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9101548 (FL)
Dermatology Physician Taxonomy 207N00000X · Licence PA9101548 (FL)

Record details

NPI number1699720763
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 24, 2006
Last updated in NPPESAugust 22, 2022
Certification dateAugust 22, 2022
Mailing address600 Village Square Xing, Palm Beach Gardens, FL 33410-4542

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Aqua Dermatology Of Florida, Pa — 184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Palm Beach Gardens