# H & L MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275626806
- **Authorized official:** MR. ORLANDO ENRIQUE LEIVA (PHYSICIAN ASSISTANT)
- **Authorized official phone:** (305) 558-8687

## Contact information

- **Practice address:** 14990 S.W. 43RD STREET, MIAMI, FL 33185-4381
- **Practice address phone:** (305) 323-1812
- **Mailing address:** P.O. BOX 522483, MIAMI, FL 33152-2483
- **Mailing address phone:** (305) 323-1812
- **Mailing address fax:** (305) 223-3579

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA 9100304 | FL | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 08/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2919401 00 | — | FL |