Individual
LEONARD A LADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9410 FOUNTAIN MEDICAL CT STE 200, BONITA SPRINGS, FL 34135-4525
(239) 948-4325
(239) 288-0574
Mailing address
9410 FOUNTAIN MEDICAL CT, STE 200, BONITA SPRINGS, FL 34135-4525
(239) 405-2669
(239) 288-0574
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
ME84351
FL
2084P0800X
Psychiatry Physician
Primary
ME84351
FL
2084P0804X
Child & Adolescent Psychiatry Physician
ME84351
FL
2084P0805X
Geriatric Psychiatry Physician
ME84351
FL
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
ME84351
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263440600
—
FL
Enumeration date
10/10/2005
Last updated
03/03/2021
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