Provider Demographics
NPI:1255635942
Name:BADALAMENTE, LEONARD (DC)
Entity type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:
Last Name:BADALAMENTE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:665 SE 10TH ST
Mailing Address - Street 2:100
Mailing Address - City:DEERFIELD BCH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-5634
Mailing Address - Country:US
Mailing Address - Phone:954-571-7088
Mailing Address - Fax:954-571-3935
Practice Address - Street 1:665 SE 10TH ST
Practice Address - Street 2:100
Practice Address - City:DEERFIELD BCH
Practice Address - State:FL
Practice Address - Zip Code:33441-5634
Practice Address - Country:US
Practice Address - Phone:954-571-7088
Practice Address - Fax:954-571-3935
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-10
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8855111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor