P David Deleeuw, MD, PA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME27667 Issued in FL

Legal business name

P DAVID DELEEUW, MD, PA

Practice address

8350 Riverwalk Park Blvd
Suite 4
Fort Myers, FL 33919-8759

Phone

(239) 489-4909

Fax

(239) 489-3901

NPI assigned

Jun 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

P. David Deleeuw, MD

Title

Owner

Phone

(239) 589-4909

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003854514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111600",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341080127",
            "telephone_number": "239-489-4909",
            "fax_number": "239-489-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 RIVERWALK PARK BLVD",
            "address_2": "SUITE 4",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339198759",
            "telephone_number": "239-489-4909",
            "fax_number": "239-489-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P DAVID DELEEUW, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELEEUW",
        "authorized_official_first_name": "P.",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-589-4909",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME27667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.