MEDICARE: MANUEL ALEJANDRO DE LEON

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
1	1835X0200X	Oncology Pharmacist	PS64492	FL

General Provider Information

NPI Number	:	1952258105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANUEL ALEJANDRO DE LEON

Provider Business Mailing Address
First Line	:	705 NW 70TH WAY
Second Line	:
City	:	MARGATE
State	:	FL
Zip	:	33063-4318
Country	:	US
Telephone Number	:	786-442-9745
Fax Number	:

Provider Business Practice Location Address
First Line	:	4725 N FEDERAL HWY
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-4603
Country	:	US
Telephone Number	:	954-542-3137
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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Directions to “ MANUEL ALEJANDRO DE LEON ” Practice Location

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