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NPI Code Detail

MEDICARE: LEDESMA MEDICAL CARE INC

MEDICARE: LEDESMA MEDICAL CARE INC
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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1912738428
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEDESMA MEDICAL CARE INC
Provider Business Mailing Address
First Line : 2796 SW 148TH CT
Second Line :
City : MIAMI
State : FL
Zip : 33185-4587
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2796 SW 148TH CT
Second Line :
City : MIAMI
State : FL
Zip : 33185-4587
Country : US
Telephone Number : 786-294-7887
Fax Number :
Authorized Official
Title or Position : PHYSICIAN
Name : DR. MAGNIE LAZARA LEDESMA LEON
Credential : MD
Telephone Number : 786-294-7887
Provider Enumeration Date : 08/08/2024
Last Update Date : 08/08/2024

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Directions to “LEDESMA MEDICAL CARE INC ” Practice Location

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