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General NPI Number Information
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NPI Number | 1710931241
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Entity Type | Organization
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Legal Business Name | LEAL MEDICAL CENTER LLC
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 1690 NE 8TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33033-4604
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Country | US
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Telephone | 305-246-1265
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Fax | 786-452-0663
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Provider Business Mailing Address
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Address Line | 1690 NE 8TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33033-4604
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Country | US
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Telephone | 305-246-1265
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Fax | 305-246-1240
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Authorized Official
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Title or Position | PRESIDENT
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Name | JHACNEA LEAL
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Credential |
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Telephone | 305-246-1265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | FL
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