Provider Demographics
NPI:1750555397
Name:FLORANTE DELEON MD INC
Entity type:Organization
Organization Name:FLORANTE DELEON MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FLORANTE
Authorized Official - Middle Name:LACAR
Authorized Official - Last Name:DELEON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-224-8599
Mailing Address - Street 1:2525 S KING ST SUITE 309
Mailing Address - Street 2:MOILIILI PROFESSIONAL BLDG
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-3154
Mailing Address - Country:US
Mailing Address - Phone:808-952-6900
Mailing Address - Fax:808-952-6900
Practice Address - Street 1:2525 S KING ST SUITE 309
Practice Address - Street 2:MOILIILI PROFESSIONAL BLDG
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-3154
Practice Address - Country:US
Practice Address - Phone:808-952-6900
Practice Address - Fax:808-952-6900
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FLORANTE DELEON MD INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIHI7069207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty