Individual
DR. AURORA LEYVA RICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9857 OLD SAINT AUGUSTINE RD STE 4, JACKSONVILLE, FL 32257-8821
(904) 861-1900
(904) 292-9264
Mailing address
9857 OLD SAINT AUGUSTINE RD STE 1, JACKSONVILLE, FL 32257-8821
(904) 260-4461
(904) 292-9684
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME100592
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14229
BLUE CROSS BLUE SHIELD
FL
05
—
280348800
—
FL
Enumeration date
12/28/2007
Last updated
04/05/2018
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