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NPI Code Detail

MEDICARE: DR. GERARD MICHAEL DILEO MD

MEDICARE:  DR. GERARD MICHAEL DILEO  MD
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
1207V00000XObstetrics & Gynecology PhysicianME95064FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
352596OTHERFLBCBS

General Provider Information

NPI Number : 1689613861
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GERARD MICHAEL DILEO MD
Provider Business Mailing Address
First Line : 1918 ROBINHOOD ST
Second Line :
City : SARASOTA
State : FL
Zip : 34231
Country : US
Telephone Number : 985-630-0498
Fax Number : 941-538-9415
Provider Business Practice Location Address
First Line : 1918 ROBINHOOD ST.
Second Line :
City : SARASOTA
State : FL
Zip : 34231
Country : US
Telephone Number : 985-630-0498
Fax Number : 941-538-9415
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 03/04/2011

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Directions to “ DR. GERARD MICHAEL DILEO MD” Practice Location

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