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General NPI Number Information
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NPI Number | 1013240217
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Entity Type | Organization
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Legal Business Name | LEON MEDICAL CENTERS LLC
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Dates
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Enumeration Date | 09/08/2009
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 12515 SW 88TH ST
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City | MIAMI
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State | FL
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Zip | 33186-1870
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Country | US
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Telephone | 305-631-3892
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Fax | 305-631-3893
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Provider Business Mailing Address
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Address Line | 8600 NW 41ST ST
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City | DORAL
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State | FL
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Zip | 33166-6202
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Country | US
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Telephone | 305-642-5366
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | JORGE ACOSTA
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Credential |
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Telephone | 305-631-4427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH24219
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License Number State | FL
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