Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | ME81664 | FL |
Y | 208200000X | Surgeon | ME81664 | FL |
Y | 208600000X | Surgeon | ME81664 | FL |
NPI | 1457354490 |
---|---|
Provider Name | Dr. John Philip Leone |
First Address | Tampa, FL 33613-6600 |
Second Address | Tampa, FL 33613-6600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 10/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
260719100 | (05) | FL |
G85007 | (02) | |
G85007 | (02) | FL |