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NPI Code Detail

MEDICARE: LEONARDO BEJARANO P.A.-C

MEDICARE: LEONARDO BEJARANO P.A.-C
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
1363A00000XPhysician AssistantPA 9101263FL

General Provider Information

NPI Number : 1881638104
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEONARDO BEJARANO P.A.-C
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number : 305-500-2000
Fax Number :
Provider Business Practice Location Address
First Line : 875 MILITARY TRL
Second Line : SUITE 200
City : JUPITER
State : FL
Zip : 33458-5700
Country : US
Telephone Number : 561-746-2411
Fax Number : 561-354-0012
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 03/15/2026

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Directions to “ LEONARDO BEJARANO P.A.-C” Practice Location

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