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Individual

KAREL MANUEL DE LEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9920 SW 40TH ST, MIAMI, FL 33165-3944
(786) 360-4425
(786) 360-4461
Mailing address
9920 SW 40TH ST, MIAMI, FL 33165-3944
(786) 360-4425
(786) 360-4461

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME155093
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
155093
LICENSE
FL
Enumeration date
03/31/2017
Last updated
05/18/2022
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