Organization
LEONARDO HENRIQUEZ M.D P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARDO J HENRIQUEZ (PRESIDENT)
(786) 302-6352
Entity
Organization
Contact information
Practice address
13658 DEERING BAY DR, CORAL GABLES, FL 33158-2838
(786) 305-6352
(954) 432-5060
Mailing address
1611 NW 12TH AVE # 16960, MIAMI, FL 33136-1005
(786) 302-6352
(954) 432-5060
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME90504
FL
Other
Enumeration date
05/18/2017
Last updated
05/18/2017
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