| Henry Lepely Md Pa | |
|
4131 University Blvd S Ste 7 Jacksonville FL 32216-4346 | |
| (904) 737-1300 | |
| (904) 737-9007 |
| Full Name | Henry Lepely Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4131 University Blvd S Ste 7, Jacksonville, Florida |
| Authorized Official Name and Position | Henry Lepely (OWNER) |
| Authorized Official Contact | 9047371300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry Lepely Md Pa 4131 University Blvd S Ste 7 Jacksonville FL 32216-4346 Ph: (904) 737-1300 | Henry Lepely Md Pa 4131 University Blvd S Ste 7 Jacksonville FL 32216-4346 Ph: (904) 737-1300 |
| NPI Number | 1043586746 |
|---|---|
| Provider Enumeration Date | 03/27/2012 |
| Last Update Date | 03/27/2012 |
| Medicare PECOS PAC ID | 7113187139 |
|---|---|
| Medicare Enrollment ID | O20120329000346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043586746 | NPI | - | NPPES |
| 048191200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME54943 (Florida) | Primary |
| Provider Name | Henry Lepely |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083643175 PECOS PAC ID: 9537329552 Enrollment ID: I20120329000389 |
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