Organization
JOSE PONCE DE LEON MD CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE PONCE DE LEON (OWNER)
(305) 229-1227
Entity
Organization
Contact information
Practice address
3501 SW 107TH AVE, MIAMI, FL 33165-3634
(305) 229-1227
(305) 229-0527
Mailing address
3501 SW 107TH AVE, MIAMI, FL 33165-3634
(305) 229-1227
(305) 229-0527
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
08/27/2007
Last updated
04/10/2012
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