# LLESANA MEDICAL SPECIALIST CORP

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

## Provider details

- **NPI number:** 1336694652
- **Authorized official:** SARA N LLERENA (PRESIDENT)
- **Authorized official phone:** (305) 258-3698

## Contact information

- **Practice address:** 8181 NW 36TH ST, 14D, DORAL, FL 33166-6671
- **Practice address phone:** (305) 305-2589
- **Mailing address:** 8181 NW 36TH ST, 14D, DORAL, FL 33166-6671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/16/2016
- **Last updated:** 08/16/2016
