Provider Demographics
NPI:1245263870
Name:LEITE-EVANS, ROSALIA PADREDI (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:ROSALIA
Middle Name:PADREDI
Last Name:LEITE-EVANS
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:ROSALIA
Other - Middle Name:PADREDI
Other - Last Name:LEITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:745 US 1
Mailing Address - Street 2:SUITE 203
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-4409
Mailing Address - Country:US
Mailing Address - Phone:561-247-0825
Mailing Address - Fax:
Practice Address - Street 1:745 US 1
Practice Address - Street 2:SUITE 203
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-4409
Practice Address - Country:US
Practice Address - Phone:561-247-0825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL961502083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL276077100Medicaid