Organization Name: | LEONARD A LADO MD PA |
NPI Number: | 1295920254 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEONARD A LADO (PRESIDENT) |
Mailing Address: | 26671 Dublin Woods Cir Suite 1 Bonita Springs |
State: | FL US |
Postal Code: | 341357249 |
Phone Number: | 2399484325 |
Fax Number: | 2393215136 |
NPI Enumeration Date: | 09/12/2007 |
NPI Last Update Date: | 04/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | ME84351 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |