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General NPI Number Information
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NPI Number | 1376579839
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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 | 06/24/2006
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 11501 SW 40TH ST
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City | MIAMI
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State | FL
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Zip | 33165-3313
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Country | US
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Telephone | 305-642-5366
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Fax |
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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 | EXECUTIVE VICE CHAIRMAN
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Name | BENJAMIN LEON III
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Credential |
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Telephone | 305-642-5366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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