Leal, Domingo J
Leal, Domingo J is an individual health care provider with primary practice located at 5955 Ponce De Leon Blvd , Coral Gables FL 33146. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Leal, Domingo J can be contacted via phone (305) 661-1515.Contact Information
Primary practice address
5955 Ponce De Leon Blvd
Coral Gables FL 33146
Phone: (305) 661-1515
Fax: (305) 662-3723
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X | ME0084811 | Florida |
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | ME84811 | Florida |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ME84811 | Florida |
Profile Details
NPI number | 1518975002 |
---|---|
LBN Legal business name | Leal, Domingo J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 3rd, 2006 |
Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518975002 | NPPES |
Florida | Other | ME0084811 | MEDICAL LICENSE NUMBER |
Florida | MEDICAID | 264092900 | MEDICAL LICENSE NUMBER |
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