Organization
LLESANA MEDICAL SPECIALIST CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA N LLERENA (PRESIDENT)
(305) 258-3698
Entity
Organization
Contact information
Practice address
8181 NW 36TH ST, 14D, DORAL, FL 33166-6671
(305) 305-2589
Mailing address
8181 NW 36TH ST, 14D, DORAL, FL 33166-6671
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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