Drs Paul and Shirley Leadem PA INC

NPI #1538246863 in St Augustine, Florida

Provider Information

NPI Number: 1538246863
Entity Type: Organization
Organization Name: Drs Paul and Shirley Leadem PA INC
Primary Specialty: Pediatrics
Enumeration Date: Nov 1, 2006
Last Updated: Apr 14, 2008

Practice Location

Address: 1740 TREE BOULEVARD
Address 2: SUITE 112
City: St Augustine
State: Florida
ZIP Code: 32084-5774
Phone: (904) 829-6591

Authorized Official

Name: DR. PAUL J LEADEM JR., M.D.
Title: PRESIDENT
Phone: (904) 829-6591

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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