Individual
DR. DWAYNE FELIX LEDESMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8141 BELLARUS WAY, SUITE 102, TRINITY, FL 34655-1783
(727) 845-3555
(727) 842-3556
Mailing address
8141 BELLARUS WAY, SUITE 102, TRINITY, FL 34655-1783
(727) 845-3555
(727) 842-3556
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME 80320
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2504815
AETNA HMO
FL
05
—
266333300
—
FL
01
—
51708
BC/BS OF FL #
FL
01
—
5519719
AETNA PPO
FL
01
—
592523434
CIGNA, UNITED, GHI
FL
01
—
98621
BC/BS OF FL GROUP #
FL
Enumeration date
01/04/2006
Last updated
04/10/2014
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