Drs Paul And Shirley Leadem Pa Inc
LBN: Drs Paul And Shirley Leadem Pa Inc
Drs Paul And Shirley Leadem Pa Inc is an health care organization with primary practice located at 1740 Tree Boulevard Suite 112, St Augustine FL 32084-5774. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty.
Drs Paul And Shirley Leadem Pa Inc can be contacted via phone (904) 829-6591, or through Leadem, Paul J via phone (904) 829-6591.
Contact Information
Primary practice address
1740 Tree Boulevard Suite 112
St Augustine FL 32084-5774
Phone: (904) 829-6591
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1538246863 |
|---|---|
| LBN Legal business name | Drs Paul And Shirley Leadem Pa Inc |
| DBA Doing business as | |
| Authorized official | Leadem, Paul J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Apr 14th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538246863 | NPPES |
| Florida | Other | 74622 | BC/BS FLORIDA |
| Florida | MEDICAID | 270529000 | BC/BS FLORIDA |
| Florida | Other | 4049277 | BC/BS FLORIDA |
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