Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shirley N Leadem, MD

Individual provider Pediatrics Physician · NPI 1023194859

Dr. Shirley N Leadem, MD is a Pediatrics Physician in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1740 Tree Blvd Ste 112
St Augustine, FL 32084-5774
Phone: (904) 829-6591
Fax: (904) 824-8856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME88076 (FL)

Record details

NPI number1023194859
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 27, 2006
Last updated in NPPESMay 20, 2015

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