LEONEL P WELCH BASULTO

BONIFAY, FL
NPI1316970262
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  201859686)
Enumeration Date2006-07-07
Last Update Date2015-08-27
Business Address
-- LEONEL P WELCH BASULTO MD
3269 HIGHWAY 90
BONIFAY, FL 32425-6001
Phone number: 850-547-9991
Mailing Address
-- LEONEL P WELCH BASULTO MD
3269 HIGHWAY 90 EAST
BONIFAY, FL 32425-6001
Phone number: 850-547-9991
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