Organization
LEON MEDICAL CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE ACOSTA (DIRECTOR OF PHARMACY)
(305) 631-4427
Entity
Organization
Contact information
Practice address
12515 SW 88TH ST, MIAMI, FL 33186-1870
(305) 631-3892
(305) 631-3893
Mailing address
8600 NW 41ST ST, DORAL, FL 33166-6202
(305) 642-5366
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH24219
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1048265
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/08/2009
Last updated
11/06/2025
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