Individual
PAUL J LEADEM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13241 BARTRAM PARK BLVD UNIT 209, JACKSONVILLE, FL 32258-5233
(904) 829-6591
(904) 824-8856
Mailing address
13241 BARTRAM PARK BLVD UNIT 209, JACKSONVILLE, FL 32258-5233
(904) 829-6591
(904) 824-8856
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME77841
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267623100
—
FL
01
—
37711
BC/BS OF FLA
FL
01
—
4049277
AETNA
—
Enumeration date
09/27/2006
Last updated
01/18/2025
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