Provider Demographics
NPI:1417013434
Name:BUCHBINDER, LEONARDO RAUL (MD)
Entity Type:Individual
Prefix:
First Name:LEONARDO
Middle Name:RAUL
Last Name:BUCHBINDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7421 N UNIVERSITY DRIVE
Mailing Address - Street 2:SUITE 309
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-6103
Mailing Address - Country:US
Mailing Address - Phone:954-720-9811
Mailing Address - Fax:954-720-2827
Practice Address - Street 1:7421 N UNIVERSITY DRIVE
Practice Address - Street 2:SUITE 309
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-6103
Practice Address - Country:US
Practice Address - Phone:954-720-9811
Practice Address - Fax:954-720-2827
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME62949207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL373844200Medicaid
FL23509AMedicare ID - Type Unspecified
FL373844200Medicaid