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Individual

MR. YUCSEL GONGORA LEYVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1853 FLORIDA MANGO RD, WEST PALM BEACH, FL 33406-6736
(561) 510-0911
Mailing address
1853 FLORIDA MANGO RD, WEST PALM BEACH, FL 33406-6736
(561) 510-0911

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
7205936
FL

Other

Enumeration date
07/12/2018
Last updated
07/12/2018
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