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General NPI Number Information
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NPI Number | 1013035518
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Entity Type | Organization
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Legal Business Name | ORLANDO E. LEIVA, M.D., P.A.
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 02/19/2021
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Provider Practice Location Address
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Address Line | 14990 SW 43RD ST
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City | MIAMI
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State | FL
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Zip | 33185-4381
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Country | US
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Telephone | 305-323-1812
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Fax | 305-229-2844
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Provider Business Mailing Address
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Address Line | P.O. BOX 522483
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City | MIAMI
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State | FL
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Zip | 33152-2483
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Country | US
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Telephone | 305-323-1812
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Fax | 305-229-2844
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Authorized Official
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Title or Position | MD
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Name | DR. ORLANDO E. LEIVA
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Credential | MD
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Telephone | 305-323-1812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ACN 366
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License Number State | FL
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