Organization
JORGE L LEAL MD LLC
Active
Other names
Jorge J Leal MD LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE LEAL MD (PRESIDENT)
(813) 549-2134
Entity
Organization
Contact information
Practice address
4730 N HABANA AVE, STE 300, TAMPA, FL 33614-7163
(813) 549-2134
(813) 864-4436
Mailing address
4730 N HABANA AVE, STE 204, TAMPA, FL 33614-7163
(813) 549-2134
(813) 864-4436
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME61327
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME61327
FL
208VP0000X
Pain Medicine Physician
Primary
ME61327
FL
208VP0014X
Interventional Pain Medicine Physician
ME61327
FL
Other
Enumeration date
03/12/2007
Last updated
06/06/2016
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