Healthcare Provider Details

I. General information

NPI: 1477049153
Provider Name (Legal Business Name): AURELIA B LEBLANC NUNEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2018
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1390 NW 7TH ST
MIAMI FL
33125-3704
US

IV. Provider business mailing address

7925 NW 12TH ST STE 201
DORAL FL
33126-1821
US

V. Phone/Fax

Practice location:
  • Phone: 786-636-1660
  • Fax: 786-513-6239
Mailing address:
  • Phone: 305-874-3909
  • Fax: 305-874-3916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME159763
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: