Provider Demographics
NPI:1407921497
Name:MCASKILL, LEON CRAIG (MD)
Entity type:Individual
Prefix:
First Name:LEON
Middle Name:CRAIG
Last Name:MCASKILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 494948
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33949-4948
Mailing Address - Country:US
Mailing Address - Phone:941-206-5200
Mailing Address - Fax:941-206-3322
Practice Address - Street 1:3527 TAMIAMI TRL
Practice Address - Street 2:UNIT E
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-8128
Practice Address - Country:US
Practice Address - Phone:941-206-5200
Practice Address - Fax:941-206-3322
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME95034207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine