Individual
DR. GARY WAYNE DE LEON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1825 NW 167TH ST STE 108, MIAMI GARDENS, FL 33056-4838
(305) 624-7450
Mailing address
1825 NW 167TH ST, MIAMI GARDENS, FL 33056-4838
(305) 624-7450
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS21806
FL
207Q00000X
Family Medicine Physician
U7411
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10080329
TX
Other
Enumeration date
05/17/2022
Last updated
03/09/2026
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