Free National NPI Number Registry
Dr. Carlos A Leon
Home >Dr. Carlos A Leon
NPI Number Detailed Information
Provider Information:
Name: | Dr. Carlos A Leon |
Gender: | M |
Provider License Number If Given: | ME56274 |
NPI Information:
NPI: | 1679576870 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 5/23/2005 |
Last Update Date: | 5/28/2014 |
Provider Business Mailing Address:
Address: | 2300 PARK AVENUE SUITE 101-B Orange Park, FL 32073 |
Phone Number: | 9042640088 |
Fax Number: | 9042640099 |
Provider Business Practice Location Address:
Address: | 2300 PARK AVENUE SUITE 101-B Orange Park, FL 32073 |
Phone Number: | 9042640088 |
Fax Number: | 9042640099 |
Provider Taxonomy:
Primary: | 207RC0000X |
Secondary (if any): | 207RC0000X |
State: | FL |