Provider Demographics
NPI:1821027517
Name:LESMES, JULIO HENRY (MD)
Entity Type:Individual
Prefix:MR
First Name:JULIO
Middle Name:HENRY
Last Name:LESMES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1879 NIGHTINGALE LN
Mailing Address - Street 2:STE C-1
Mailing Address - City:TAVARES
Mailing Address - State:FL
Mailing Address - Zip Code:32778
Mailing Address - Country:US
Mailing Address - Phone:352-742-1171
Mailing Address - Fax:352-742-7241
Practice Address - Street 1:1879 NIGHTINGALE LN
Practice Address - Street 2:STE C-1
Practice Address - City:TAVARES
Practice Address - State:FL
Practice Address - Zip Code:32778
Practice Address - Country:US
Practice Address - Phone:352-742-1171
Practice Address - Fax:352-742-7241
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2013-04-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME59646207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL056085500Medicaid
FL12337XMedicare PIN