Organization
H & L MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ORLANDO ENRIQUE LEIVA (PHYSICIAN ASSISTANT)
(305) 558-8687
Entity
Organization
Contact information
Practice address
14990 S.W. 43RD STREET, MIAMI, FL 33185-4381
(305) 323-1812
Mailing address
P.O. BOX 522483, MIAMI, FL 33152-2483
(305) 323-1812
(305) 223-3579
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9100304
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2919401 00
—
FL
Enumeration date
10/02/2006
Last updated
08/12/2008
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