Leonel P Welch Basulto, MD

NPI #1316970262 in Bonifay, Florida

Provider Information

NPI Number
1316970262
Entity Type
Individual
Name
Leonel P Welch Basulto, MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Credential
MD
Enumeration Date
Jul 7, 2006
Last Updated
Aug 27, 2015

Practice Location

Address
3269 HIGHWAY 90
State
Florida
ZIP Code
32425-6001
Phone
(850) 547-9991

Specialties & Taxonomy Codes

Specialty
Family Medicine

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