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General NPI Number Information
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NPI Number | 1750555397
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Entity Type | Organization
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Legal Business Name | FLORANTE DELEON MD INC
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Dates
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Enumeration Date | 04/15/2008
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 2525 S KING ST SUITE 309 MOILIILI PROFESSIONAL BLDG
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City | HONOLULU
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State | HI
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Zip | 96826-3154
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Country | US
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Telephone | 808-952-6900
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Fax | 808-952-6900
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Provider Business Mailing Address
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Address Line | 2525 S KING ST SUITE 309 MOILIILI PROFESSIONAL BLDG
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City | HONOLULU
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State | HI
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Zip | 96826-3154
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Country | US
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Telephone | 808-952-6900
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Fax | 808-952-6900
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Authorized Official
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Title or Position | OWNER
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Name | FLORANTE LACAR DELEON
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Credential | MD
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Telephone | 808-224-8599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | HI7069
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License Number State | HI
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