=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164706610
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LEAH ABUEL MAJAROCON ANP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/03/2011
-----------------------------------------------------
Last Update Date | 08/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1328 SE 25TH LOOP STE 102
-----------------------------------------------------
City | OCALA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34471-1023
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-732-2558
-----------------------------------------------------
Fax | 352-732-8983
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 12101 WOODCREST EXECUTIVE DR SUITE 210
-----------------------------------------------------
City | SAINT LOUIS
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63141-5047
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 314-317-0600
-----------------------------------------------------
Fax | 314-317-0606
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LA2200X
-----------------------------------------------------
Taxonomy Name | Adult Health Nurse Practitioner
-----------------------------------------------------
License Number | 2011028690
-----------------------------------------------------
License Number State | MO
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LA2200X
-----------------------------------------------------
Taxonomy Name | Adult Health Nurse Practitioner
-----------------------------------------------------
License Number | APRN9456165
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------