Provider Demographics
NPI:1639299241
Name:TACHMES, LEONARD (MD,PA)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:
Last Name:TACHMES
Suffix:
Gender:M
Credentials:MD,PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1674 MERIDIAN AVE
Mailing Address - Street 2:STE 204
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-2801
Mailing Address - Country:US
Mailing Address - Phone:305-531-9800
Mailing Address - Fax:305-531-9801
Practice Address - Street 1:1674 MERIDIAN AVE
Practice Address - Street 2:SIUTE 204
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-2801
Practice Address - Country:US
Practice Address - Phone:305-531-9800
Practice Address - Fax:305-531-9801
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME655092086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1639299241OtherNPI
FLF74041Medicare UPIN