Leila Patallo

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME84982 Issued in FL

Legal business name

LEILA PATALLO

Doing business as

Titusville Neurology

Practice address

1781 Garden St
Titusville, FL 32796-3221

Phone

(321) 383-0900

Fax

(321) 383-0024

NPI assigned

Sep 27, 2007

Last updated

Jun 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Delphine Celine Jacquet

Title

Office Manager

Phone

(321) 383-0900

Specialties & licenses 1

Addresses

Other names 1

• Titusville Neurology Doing business as

Locations

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1609063296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963221",
            "telephone_number": "321-383-0900",
            "fax_number": "321-383-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963221",
            "telephone_number": "321-383-0900",
            "fax_number": "321-383-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEILA PATALLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "JACQUET",
        "authorized_official_first_name": "DELPHINE",
        "authorized_official_middle_name": "CELINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "321-383-0900",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME84982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Titusville Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Rae Lau
• Shaelyn Montgomery Ledoux
• Martin Arthur Lee, RPH
• Sheila J Lee, ARNP
• Andreana Leggett
• Nichole Janet Lejeune, LMHC
• Rafe S Leming
• Christopher George Lent, BPHARM
• Justin Lentz
• Angela Levitt, RPSGT, CCSH

• Neurology Physician in Titusville, FL
• Providers in Titusville, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.