Organization
LEON MEDICAL CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE ACOSTA (DIRECTOR OF PHARMACY)
(305) 631-4427
Entity
Organization
Contact information
Practice address
8881 NW 18TH TER, DORAL, FL 33172-2624
(305) 631-5078
(305) 631-5091
Mailing address
8600 NW 41ST ST, DORAL, FL 33166-6202
(305) 631-4427
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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