| Dr Shirley N Leadem, MD | |
|
1740 Tree Boulevard, Suite 112, St Augustine, FL 32084-5774 | |
| (904) 829-6591 | |
| (904) 824-8856 |
| Full Name | Dr Shirley N Leadem |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1740 Tree Boulevard, St Augustine, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023194859 | NPI | - | NPPES |
| 4049277 | Other | FL | AETNA |
| 377712 | Other | FL | BC/BS |
| 267624900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ME88076 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shirley N Leadem, MD 1740 Tree Boulevard, Suite 112, St Augustine, FL 32084-5774 Ph: (904) 829-6591 | Dr Shirley N Leadem, MD 1740 Tree Boulevard, Suite 112, St Augustine, FL 32084-5774 Ph: (904) 829-6591 |
Mr. Gary Wayne Cater, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-819-4478 | |
Dr. Miguel A Mas Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Plantation Island Dr S, Suite 404, St Augustine, FL 32080 Phone: 904-461-1560 Fax: 904-461-4304 | |
Dr. Meredith Johnston Brazell, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 120 Palencia Village Dr Ste 107, St Augustine, FL 32095 Phone: 904-819-3200 | |
Kaylan Brady, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 70 Turin Terrace, Suite 220, St Augustine, FL 32092 Phone: 904-819-3000 Fax: 904-819-4426 | |
Paul J Leadem Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1740 Tree Boulevard, Suite 112, St Augustine, FL 32084 Phone: 904-829-6591 Fax: 904-824-8856 | |
Dr. Patricia Elvir, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 319 W Town Pl, Suite#1, St Augustine, FL 32092 Phone: 904-940-1577 Fax: 904-940-1916 |