Organization
CORNERSTONE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE D THEODORE M.D. (DIRECTOR)
(561) 422-0037
Entity
Organization
Contact information
Practice address
1117 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL 33411-1641
(561) 422-0037
(561) 422-0115
Mailing address
683 HALF HOLLOW RD, DIX HILLS, NY 11746-6232
(631) 960-2544
(718) 613-4754
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME100976
FL
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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