Organization
PALM BEACH PAIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO A LEANO M.D. (PRESIDENT)
(561) 781-8010
Entity
Organization
Contact information
Practice address
5610 PGA BLVD STE 210, PALM BEACH GARDENS, FL 33418-3838
(561) 781-8010
(561) 781-8020
Mailing address
5610 PGA BLVD STE 210, PALM BEACH GARDENS, FL 33418-3838
(561) 781-8010
(561) 781-8020
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
ME87536
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015251200
—
FL
Enumeration date
02/20/2017
Last updated
02/20/2017
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