Leadem, Paul J

Leadem, Paul J is an individual health care provider with primary practice located at 1740 Tree Boulevard Suite 112, St Augustine FL 32084-5774. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Leadem, Paul J can be contacted 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: (904) 824-8856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME77841 Florida

Profile Details

NPI number 1184715658
LBN Legal business name Leadem, Paul J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Apr 14th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184715658 NPPES
Florida MEDICAID 267623100
Florida Other 4049277
Florida Other 37711

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