| Organization Name: | LEAL MEDICAL CENTER LLC |
| NPI Number: | 1710931241 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JHACNEA LEAL (PRESIDENT) |
| Mailing Address: | 1690 Ne 8th St Homestead |
| State: | FL US |
| Postal Code: | 330334604 |
| Phone Number: | 3052461265 |
| Fax Number: | 3052461240 |
| NPI Enumeration Date: | 05/20/2006 |
| NPI Last Update Date: | 06/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |