# DRS PAUL AND SHIRLEY LEADEM PA INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538246863
- **Authorized official:** DR. PAUL J LEADEM JR. M.D. (PRESIDENT)
- **Authorized official phone:** (904) 829-6591

## Contact information

- **Practice address:** 1740 TREE BOULEVARD, SUITE 112, ST AUGUSTINE, FL 32084-5774
- **Practice address phone:** (904) 829-6591
- **Mailing address:** 1740 TREE BLVD, SUITE 112, ST AUGUSTINE, FL 32084-5774
- **Mailing address phone:** (904) 829-6591

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | Yes |
| 208000000X | Pediatrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 04/14/2008