MEDICARE: DENNIS 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	2084P0800X	Psychiatry Physician	MA49008	NJ
2	2084P0800X	Psychiatry Physician	ME127683	FL

General Provider Information

NPI Number	:	1235347535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS LEONE M.D.

Provider Business Mailing Address
First Line	:	2356 GREENLAND CT
Second Line	:
City	:	PUNTA GORDA
State	:	FL
Zip	:	33983-8614
Country	:	US
Telephone Number	:	393-338-7323
Fax Number	:

Provider Business Practice Location Address
First Line	:	3191 HARBOR BLVD STE A
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33952-6755
Country	:	US
Telephone Number	:	393-387-3232
Fax Number	:

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

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	04/12/2024

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