Individual
ANTONIO MIGUEL DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 NW 27TH AVE, MIAMI, FL 33125-3037
(305) 631-0874
Mailing address
7170 SW 7TH ST, MIAMI, FL 33144-2741
(786) 543-5967
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS53625
FL
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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