| Leonard C Bass Md Pa | |
|
9750 Nw 45th Mnr Coral Springs FL 33065-1514 | |
| (954) 873-8545 | |
| (954) 587-7577 |
| Full Name | Leonard C Bass Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 9750 Nw 45th Mnr, Coral Springs, Florida |
| Authorized Official Name and Position | Leonard Channing Bass (PRESIDENT) |
| Authorized Official Contact | 9548738545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leonard C Bass Md Pa Po Box 101330 Fort Lauderdale FL 33310-1330 Ph: (954) 873-8545 | Leonard C Bass Md Pa 9750 Nw 45th Mnr Coral Springs FL 33065-1514 Ph: (954) 873-8545 |
| NPI Number | 1386746774 |
|---|---|
| Provider Enumeration Date | 09/05/2006 |
| Last Update Date | 05/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386746774 | NPI | - | NPPES |
| 373957100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME14256 (Florida) | Primary |
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