Healthcare Provider Details

I. General information

NPI: 1083408025
Provider Name (Legal Business Name): MISLEIBY LEON FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5673 SW 137TH AVE
MIAMI FL
33183-1101
US

IV. Provider business mailing address

15121 SW 34TH TER
MIAMI FL
33185-4924
US

V. Phone/Fax

Practice location:
  • Phone: 305-385-3949
  • Fax: 305-385-3945
Mailing address:
  • Phone: 305-746-8877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPRN11038685
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11038685
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: