Healthcare Provider Details
I. General information
NPI: 1831863182
Provider Name (Legal Business Name): EDUARDO DE LEON DESCARTES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/02/2021
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1501 S SEMORAN BLVD
ORLANDO FL
32807-2919
US
IV. Provider business mailing address
425 W COLONIAL DR STE 303
ORLANDO FL
32804-6863
US
V. Phone/Fax
- Phone: 407-382-1376
- Fax: 321-235-3232
- Phone: 321-332-6947
- Fax: 407-286-4515
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | 23443 |
| License Number State | PR |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | ACN1568 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: