Organization
CARLA B. MACLEOD M.D. & ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINA VALLADARES (DIRECTOR, PAYER ENROLLMENT)
(561) 514-5822
Entity
Organization
Contact information
Practice address
18207A FLOWER HILL WAY, GAITHERSBURG, MD 20879-5331
(301) 926-4707
Mailing address
11025 RCA CENTER DR STE 300, PALM BEACH GARDENS, FL 33410-4269
(561) 514-5822
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
335205600
—
MD
Enumeration date
07/22/2020
Last updated
07/22/2020
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