Healthcare Provider Details
I. General information
NPI: 1942339965
Provider Name (Legal Business Name): DAY & LEON, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/05/2007
Last Update Date: 06/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5640 W ATLANTIC BLVD
MARGATE FL
33063-4523
US
IV. Provider business mailing address
5640 W ATLANTIC BLVD
MARGATE FL
33063-4523
US
V. Phone/Fax
- Phone: 954-974-4414
- Fax: 954-975-7239
- Phone: 954-974-4414
- Fax: 954-975-7239
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | FL |
VIII. Authorized Official
Name: DR.
WARREN
G
DAY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 954-974-4414