Organization Name: | LEON MEDICAL & THERAPY SERVICES INC |
NPI Number: | 1124275508 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAGGIE LEON (PRESIDENT) |
Mailing Address: | 4896 Nw 7th St Miami |
State: | FL US |
Postal Code: | 331262102 |
Phone Number: | 3054454706 |
Fax Number: | 3054454705 |
NPI Enumeration Date: | 08/27/2008 |
NPI Last Update Date: | 06/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |