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NPI Code Detail

MEDICARE: DANIEL LEYVA

MEDICARE: DANIEL LEYVA
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
1324500000XSubstance Abuse Rehabilitation FacilityMH13526FL

General Provider Information

NPI Number : 1790131167
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL LEYVA
Provider Business Mailing Address
First Line : 10324 NW 51ST ST
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33076-1743
Country : US
Telephone Number : 954-344-8967
Fax Number :
Provider Business Practice Location Address
First Line : 1431 SW 9TH AVE
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-6220
Country : US
Telephone Number : 954-834-5099
Fax Number : 954-834-5080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2016
Last Update Date : 05/04/2016

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Directions to “ DANIEL LEYVA ” Practice Location

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