Individual
BRIAN DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1845 GARFIELD ST, HOLLYWOOD, FL 33020-3115
(954) 505-8551
Mailing address
2301 SW 139TH PL FL 33175, MIAMI, FL 33175-7040
(813) 770-9723
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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