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NPI Code Detail

MEDICARE: MR. LEONEL SEBASTIAN DE LA FLOR RN

MEDICARE: MR. LEONEL SEBASTIAN DE LA FLOR RN
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
1163W00000XRegistered Nurse9251926FL
2163WR0006XRegistered Nurse First AssistantRN9251926FL

General Provider Information

NPI Number : 1437304672
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LEONEL SEBASTIAN DE LA FLOR RN
Provider Business Mailing Address
First Line : 1995 E OAKLAND PARK BLVD
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33306-1147
Country : US
Telephone Number : 954-791-6146
Fax Number : 954-337-2733
Provider Business Practice Location Address
First Line : 1995 E OAKLAND PARK BLVD
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33306-1147
Country : US
Telephone Number : 954-791-6146
Fax Number : 954-337-2733
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2008
Last Update Date : 01/25/2019

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