Santiago M Leyte Vidal MD LLC
NPI #1770791741 in Cocoa Beach, Florida
Provider Information
- NPI Number
- 1770791741
- Entity Type
- Organization
- Organization Name
- Santiago M Leyte Vidal MD LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- May 21, 2007
- Last Updated
- Jul 30, 2007
Practice Location
- Address
- 465 MINUTEMEN CSWY
- City
- Cocoa Beach
- State
- Florida
- ZIP Code
- 32931-2881
- Phone
- (321) 783-2412
Authorized Official
- Name
- DR. SANTIAGO M LEYTE VIDAL JR., M.D.
- Title
- MANAGING MEMBER
- Phone
- (321) 783-2412
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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