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Individual
DR. FIDIAS EDUARDO DE LEON
Active
Individual
DR. FIDIAS EDUARDO DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207UN0901X
Nuclear Cardiology Physician
63891
GA
207UN0902X
Nuclear Imaging & Therapy Physician
63891
GA
208D00000X
General Practice Physician
Primary
63891
GA
208D00000X
General Practice Physician
ME104760
FL
Other
Enumeration date
07/07/2008
Last updated
11/09/2022
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