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Organization
LEIVA MEDICAL APRN LLC
Active
Organization
LEIVA MEDICAL APRN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS LEIVA (OWNER)
(786) 366-1153
Entity
Organization
Contact information
Practice address
10030 SW 40TH ST STE A, MIAMI, FL 33165-3994
(786) 366-1153
Mailing address
10030 SW 40TH ST STE A, MIAMI, FL 33165-3994
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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