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Organization
SANTIAGO M LEYTE VIDAL MD LLC
Active
Organization
SANTIAGO M LEYTE VIDAL MD LLC
Active
Other names
Cocoa Beach Internal Medicine Association
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANTIAGO M LEYTE VIDAL JR. M.D. (MANAGING MEMBER)
(321) 783-2412
Entity
Organization
Contact information
Practice address
465 MINUTEMEN CSWY, COCOA BEACH, FL 32931-2881
(321) 783-2412
(321) 784-1689
Mailing address
465 MINUTEMEN CSWY, COCOA BEACH, FL 32931-2881
(321) 783-2412
(321) 784-1689
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
07/30/2007
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