MEDICARE: SARAH LEON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F06240260	FL

General Provider Information

NPI Number	:	1114742426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH LEON

Provider Business Mailing Address
First Line	:	3545 SAINT JOHNS BLUFF RD S
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32224-2682
Country	:	US
Telephone Number	:	904-827-3709
Fax Number	:

Provider Business Practice Location Address
First Line	:	3545 SAINT JOHNS BLUFF RD S
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32224-2682
Country	:	US
Telephone Number	:	904-827-3709
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2024
Last Update Date	:	11/21/2024

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Directions to “ SARAH LEON ” Practice Location

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