Organization
LESTER DE LEON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESTER DE LEON MD (PRESIDENT)
(786) 259-5449
Entity
Organization
Contact information
Practice address
4155 SW 136TH AVE, MIAMI, FL 33175-3253
(786) 536-7614
Mailing address
4155 SW 136TH AVE, MIAMI, FL 33175-3253
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME111208
FL
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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