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NPI Code Detail

MEDICARE: LESLIE GARCIA NOVOA

MEDICARE:   LESLIE  GARCIA NOVOA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1861063398
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE GARCIA NOVOA
Provider Business Mailing Address
First Line : 3431 W 80TH ST APT 201
Second Line :
City : HIALEAH
State : FL
Zip : 33018-7572
Country : US
Telephone Number : 786-369-6034
Fax Number :
Provider Business Practice Location Address
First Line : 13301 SW 132ND AVE UNIT 212
Second Line :
City : MIAMI
State : FL
Zip : 33186-6190
Country : US
Telephone Number : 786-227-6830
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2021
Last Update Date : 03/04/2024

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Directions to “ LESLIE GARCIA NOVOA ” Practice Location

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