| Lado Healing Institute | |
|
9410 Fountain Medical Ct Ste 200 Bonita Springs FL 34135-4525 | |
| (239) 948-4325 | |
| (239) 288-0574 |
| Full Name | Lado Healing Institute |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9410 Fountain Medical Ct Ste 200, Bonita Springs, Florida |
| Authorized Official Name and Position | Leonard A Lado (PRESIDENT) |
| Authorized Official Contact | 2399484325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lado Healing Institute 9410 Fountain Medical Ct Ste 200 Bonita Springs FL 34135-4525 Ph: (239) 948-4325 | Lado Healing Institute 9410 Fountain Medical Ct Ste 200 Bonita Springs FL 34135-4525 Ph: (239) 948-4325 |
| NPI Number | 1295920254 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 03/03/2021 |
| Certification Date | 03/03/2021 |
| Medicare PECOS PAC ID | 9335225564 |
|---|---|
| Medicare Enrollment ID | O20080327000505 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295920254 | NPI | - | NPPES |
| 001400400 | Medicaid | FL | |
| 15399 | Other | FL | BLUE CROSS BLUE SHIELD |
| Provider Name | Leonard A Lado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487642997 PECOS PAC ID: 9931002581 Enrollment ID: I20040511000371 |
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