Provider Demographics
NPI:1790018539
Name:LEONARD TACHMES MD PA
Entity Type:Organization
Organization Name:LEONARD TACHMES MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:
Authorized Official - Last Name:TACHMES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-531-9800
Mailing Address - Street 1:333 ARTHUR GODFREY RD
Mailing Address - Street 2:SUITE 214
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3641
Mailing Address - Country:US
Mailing Address - Phone:305-531-9800
Mailing Address - Fax:305-531-9801
Practice Address - Street 1:333 ARTHUR GODFREY RD
Practice Address - Street 2:SUITE 214
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3641
Practice Address - Country:US
Practice Address - Phone:305-531-9800
Practice Address - Fax:305-531-9801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-11
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME65509174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty