Organization
ERNEST DE LEON, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST PAUL DE LEON MD (OWNER)
(386) 758-6141
Entity
Organization
Contact information
Practice address
4225 NW AMERICAN LN, LAKE CITY, FL 32055-4881
(386) 758-6141
Mailing address
4225 NW AMERICAN LN, LAKE CITY, FL 32055-4881
(386) 758-6141
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0061518
FL
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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