LEOPOLDO DANIEL DULUC VEGA (NPI# 1104195973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104195973 |
| Entity Type | Individual |
| Full Name | LEOPOLDO DANIEL DULUC VEGA |
| Credential | M.D. |
| Practice Address |
9981 S Healthpark Dr # 2-west Fort Myers FL 33908-3618 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393432052 |
| Practice Fax Number | 2393435348 |
| Mailing Telephone | 2393432052 |
| Mailing Fax Number | 2393435348 |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2020-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME124735 | FL | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | ME124735 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 015537300 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2776 Cleveland Ave, Fort Myers, FL 339015864 | 2394241400 | 2394241421 |
| Street Address |
9981 S HEALTHPARK DR # 2-WEST |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265561369 | Daniel Delatorre | Internal Medicine | 9981 S Healthpark Dr # 2-west, Fort Myers, FL 33908-3618 | 2007-03-05 |
| 1093106239 | Fredrick Cadet | Internal Medicine | 9981 S Healthpark Dr # 2-west, Fort Myers, FL 33908-3618 | 2015-02-10 |
| 1871857276 | Kembukem Amadi | Family Medicine | 9981 S Healthpark Dr # 2-west, Fort Myers, FL 33908-3618 | 2012-06-29 |
| 1083900476 | Ernesto Jose Badui Cantisano | Internal Medicine | 9981 S Healthpark Dr # 2-west, Fort Myers, FL 33908-3618 | 2011-06-23 |
| 1821384504 | Edwin Miguel Alberto Mercedes | Internal Medicine | 9981 S Healthpark Dr # 2-west, Fort Myers, FL 33908-3618 | 2011-06-22 |
| 1063716041 | Beatrice L Mohr | Nurse Practitioner | 9981 S Healthpark Dr # 2-west, Fort Myers, FL 33908-3618 | 2011-01-05 |
| 1467764381 | Elie Jose Checo Heinsen | Internal Medicine | 9981 S Healthpark Dr # 2-west, Fort Myers, FL 33908-3618 | 2010-07-08 |
| 1356583785 | Samina Azam | Internal Medicine | 9981 S Healthpark Dr # 2-west, Fort Myers, FL 33908-3618 | 2009-03-31 |
| 1619129350 | Kristina Bedynerman | Psychiatry & Neurology | 9981 S Healthpark Dr # 2-west, Fort Myers, FL 33908-3618 | 2008-10-14 |
| 1831382340 | Khaza Chowdhury | Internal Medicine | 9981 S Healthpark Dr # 2-west, Fort Myers, FL 33908-3618 | 2007-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720419880 | Krysalis | Hospitalist | 13607 Pine Villa Lane, Fort Myers, FL 33912 | 2013-11-27 |
| 1275723991 | Oscar Hernan Rodriguez Siguenas | Hospitalist | 1400 Colonial Blvd Ste 203, Fort Myers, FL 33907-1069 | 2007-07-30 |
| 1376064493 | Wolf Bourjolly Lezeau | Hospitalist | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2017-06-28 |
| 1285167379 | Heather Nichole Swedberg | Hospitalist | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2017-04-06 |
| 1467985416 | Kory Andrew Barkley | Hospitalist | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2017-04-06 |
| 1568817385 | Stefani Motkar | Hospitalist | 2780 Cleveland Ave Ste 702, Fort Myers, FL 33901 | 2016-04-29 |
| 1093160921 | Dustin Begosh-mayne | Hospitalist | 9981 S Healthpark Dr, Fort Myers, FL 33908 | 2016-04-28 |
| 1588028633 | Ekaterina F. Casmartino | Hospitalist | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2016-04-05 |
| 1043628050 | Warlyn Sosa Popoteur | Hospitalist | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2014-07-23 |
| 1942615612 | Tameca Bakker | Hospitalist | 9981 S Healthpark Dr, Fort Myers, FL 33908 | 2014-06-21 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.