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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1518975002 NPPES
Florida Other ME0084811 MEDICAL LICENSE NUMBER
Florida MEDICAID 264092900 MEDICAL LICENSE NUMBER

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