Dr. Shirley N Leadem

M.D. | Pediatrics | Female

Dr. Shirley N Leadem, M.D. is a St Augustine, Florida based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Dr. Shirley N Leadem is 1740 Tree Boulevard, Suite 112, St Augustine, Florida - 32084-5774. She can be contacted on phone at 904-829-6591 and fax number 904-824-8856. Dr. Shirley N Leadem is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Shirley N Leadem is 1023194859 which was assigned by NPPES on 27 Oct, 2006 and it was last updated on 20 May, 2015. Dr. Shirley N Leadem license number is ME88076 for Pediatrics (208000000X) in Florida.
Dr. Shirley N Leadem is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Shirley N Leadem basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Dr. Shirley N Leadem
Credential :M.D.
Gender :Female
Business Address:
Dr. Shirley N Leadem address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :1740 Tree Boulevard, Suite 112
St Augustine, FL, 32084-5774
United States
Phone Number :904-829-6591
Fax Number :904-824-8856
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1023194859
NPI Entity Type : Individual
First Enrolment Date : 27 Oct, 2006
Last Updated On : 20 May, 2015
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Shirley N Leadem are as mentioned. Primary taxonomy code for Dr. Shirley N Leadem, M.D. is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYesME88076FL
Legacy Identifiers:
Other legacy medical identifiers of Dr. Shirley N Leadem such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
267624900MEDICAIDFL
4049277OtherFLAETNA
377712OtherFLBC/BS
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :1740 Tree Boulevard, Suite 112
St Augustine, FL, 32084-5774
United States
Phone Number :904-829-6591
Fax Number :904-824-8856
Business Location:
Patients can refer following map for directions to Dr. Shirley N Leadem practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.