MEDICARE: SALVATORE JAMES LEONE M.D.

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	207R00000X	Internal Medicine Physician	081101	NY

General Provider Information

NPI Number	:	1649347873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SALVATORE JAMES LEONE M.D.

Provider Business Mailing Address
First Line	:	20116 BENDING CREEK PL
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-2807
Country	:	US
Telephone Number	:	203-464-8636
Fax Number	:

Provider Business Practice Location Address
First Line	:	20116 BENDING CREEK PL
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-2807
Country	:	US
Telephone Number	:	203-464-8636
Fax Number	:

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

Provider Enumeration Date	:	11/30/2006
Last Update Date	:	07/21/2015

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