Healthcare Provider Details

I. General information

NPI: 1063040780
Provider Name (Legal Business Name): NATALIE LEON DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2020
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37790 SW 8 ST
MIAMI FL
33194
US

IV. Provider business mailing address

37790 SW 8 ST
MIAMI FL
33194
US

V. Phone/Fax

Practice location:
  • Phone: 305-894-2387
  • Fax:
Mailing address:
  • Phone: 503-901-4637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO4703
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: