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Organization

JUAN R LEBRON LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JUAN R LEBRON M.D. (PRESIDENT)
(315) 373-3412
Entity
Organization

Contact information

Practice address
101 E FLORIDA AVE, MELBOURNE, FL 32901-8301
(321) 984-4600
Mailing address
5965 S TROPICAL TRL, MERRITT ISLAND, FL 32952-7122
(315) 373-3412

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME115079
FL

Other

Enumeration date
02/25/2013
Last updated
05/30/2024
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