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Organization
LEON MEDICAL CENTERS LLC
Active
Organization
LEON MEDICAL CENTERS LLC
Active
Other names
LEON MEDICAL CENTERS
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE ACOSTA BS (DIRECTOR OF PHARMACY)
(305) 631-4427
Entity
Organization
Contact information
Practice address
8888 CORAL WAY, MIAMI, FL 33165-2008
(305) 644-6416
(305) 644-2168
Mailing address
8888 CORAL WAY, MIAMI, FL 33165-2008
(305) 644-6416
(305) 644-2168
Taxonomy
Speciality
Code
Description
License number
State
3336M0003X
Managed Care Organization Pharmacy
Primary
PH16311
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1085162
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/21/2007
Last updated
03/05/2020
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