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Contact Information

LEILA M PATALLO, MD
1350 HICKORY ST
MELBOURNE, FL32901
 Phone: 321-434-1771
 Fax: 321-434-1775
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for LEILA M PATALLO · (Female)

NPI Number 1346275948
Status Active
Credentials MD
Entity Individual
Enumeration date 07/11/2006
Last updated 05/21/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # ME84982
  • FL Medicaid 126747500
  • FL Other 3956438 AETNA GROUP NUMBER
  • FL Other 7835391 AETNA PROVIDER NUMBER
  • FL Other 13868 BLUE CROSS BLUE SHIELD
  • FL Other 7735972 CIGNA
  • FL Other 134295178 FIRST HEALTH
  • FL Other 3098980 GHI
  • FL Other 134295178 HEALTH FIRST
  • FL Other P01361854 HF RR MEDICARE
  • FL Other DD8925 PALMETTO GBA GROUP #
  • FL Other 134295171 TRICARE SOUTH GROUP #
  • FL Other 134295178 UNITED HEALTHCARE
Hospital affiliation(s)
  • GOOD SAMARITAN MEDICAL CENTER - (Acute Care)
    1309 N FLAGLER DR
    WEST PALM BEACH, FL 33401
  • PALM BEACH GARDENS MEDICAL CENTER - (Acute Care)
    3360 BURNS RD
    PALM BEACH GARDENS, FL 33410
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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