# DR. FIDIAS EDUARDO DE LEON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1871756155
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207UN0901X | Nuclear Cardiology Physician | 63891 | GA | — |
| 207UN0902X | Nuclear Imaging & Therapy Physician | 63891 | GA | — |
| 208D00000X | General Practice Physician | 63891 | GA | Yes |
| 208D00000X | General Practice Physician | ME104760 | FL | — |

## Other

- **Enumeration date:** 07/07/2008
- **Last updated:** 11/09/2022