Individual
LEONEL LEON-HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AS
Contact information
Practice address
53 ASH DR, HOLLYWOOD, FL 33026-1102
(561) 767-4421
Mailing address
9900 ALTIS CIR W, UNIT 5-302, HIALEAH, FL 33018-6097
(407) 613-0909
Taxonomy
Speciality
Code
Description
License number
State
226000000X
Recreational Therapist Assistant
Primary
16948
FL
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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