# DR. MICHAEL R. LEPORE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1780685172
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | ME81013 | FL | Yes |

## Other

- **Enumeration date:** 08/09/2005
- **Last updated:** 07/23/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01783 | BCBS | FL |
| 05 | — | 262617900 | — | FL |
| 01 | — | 650501582 | TAX ID | FL |
| 01 | — | P00061645 | MEDICARE RR | FL |