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Organization
LEONARD A LADO MD PA
Active
Organization
LEONARD A LADO MD PA
Active
Other names
Lado Healing Institute
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD A LADO MD (PRESIDENT)
(239) 948-4325
Entity
Organization
Contact information
Practice address
9410 FOUNTAIN MEDICAL CT STE 200, BONITA SPRINGS, FL 34135-4525
(239) 948-4325
(239) 288-0574
Mailing address
9410 FOUNTAIN MEDICAL CT STE 200, BONITA SPRINGS, FL 34135-4525
(239) 948-4325
(239) 288-0574
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
ME84351
FL
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001400400
—
FL
01
—
15399
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/12/2007
Last updated
03/03/2021
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