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NPI Code Detail

MEDICARE: DR. DAVID F. LELIO M.D.

MEDICARE: DR. DAVID F. LELIO 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
1106S00000XBehavior TechnicianFL
22084P0804XChild & Adolescent Psychiatry Physician2003-01254NC

General Provider Information

NPI Number : 1962420349
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID F. LELIO M.D.
Provider Business Mailing Address
First Line : 2071 REFUGE CIR
Second Line :
City : GULF BREEZE
State : FL
Zip : 32563-8872
Country : US
Telephone Number : 704-726-9614
Fax Number :
Provider Business Practice Location Address
First Line : 6479 CAROLINE ST
Second Line :
City : MILTON
State : FL
Zip : 32570-4502
Country : US
Telephone Number : 850-910-4089
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 12/06/2024

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