Individual
JOSE L PONCE DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3501 SW 107TH AVE, MIAMI, FL 33165-3634
(305) 229-1227
(305) 229-0527
Mailing address
3501 SW 107TH AVE, MIAMI, FL 33165-3634
(305) 229-1227
(305) 229-0527
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0090684
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270619900
—
FL
Enumeration date
07/11/2006
Last updated
04/10/2012
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