| Leonard J Pianko Md Pa | |
|
20305 Biscayne Blvd Aventura FL 33180-1512 | |
| (305) 932-2441 | |
| (305) 933-1749 |
| Full Name | Leonard J Pianko Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 20305 Biscayne Blvd, Aventura, Florida |
| Authorized Official Name and Position | Leonard J Pianko (OWNER) |
| Authorized Official Contact | 3059322441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leonard J Pianko Md Pa 20305 Biscayne Blvd Aventura FL 33180-1512 Ph: (305) 932-2441 | Leonard J Pianko Md Pa 20305 Biscayne Blvd Aventura FL 33180-1512 Ph: (305) 932-2441 |
| NPI Number | 1326229873 |
|---|---|
| Provider Enumeration Date | 11/26/2007 |
| Last Update Date | 11/29/2007 |
| Medicare PECOS PAC ID | 0345425815 |
|---|---|
| Medicare Enrollment ID | O20110427000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326229873 | NPI | - | NPPES |
| 063634700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME50446 (Florida) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | ME50446 (Florida) | Secondary |
| Provider Name | Leonard J Pianko |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063445351 PECOS PAC ID: 2062475635 Enrollment ID: I20110518000165 |
| Provider Name | Lillian Lastra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629584065 PECOS PAC ID: 3779822598 Enrollment ID: I20190222000025 |
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