MEDICARE: DR. ROSALIA PADREDI LEITE-EVANS MD, MPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083P0901X	Public Health & General Preventive Medicine Physician	96150	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245263870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSALIA PADREDI LEITE-EVANS MD, MPH

Provider Business Mailing Address
First Line	:	745 US 1
Second Line	:	SUITE 203
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-4409
Country	:	US
Telephone Number	:	561-247-0825
Fax Number	:

Provider Business Practice Location Address
First Line	:	745 US 1
Second Line	:	SUITE 203
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-4409
Country	:	US
Telephone Number	:	561-247-0825
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	10/05/2010

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