Individual
DR. LEON RAWNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 E HALLANDALE BEACH BLVD STE 301, HALLANDALE BEACH, FL 33009-4835
(954) 458-2572
Mailing address
5355 LYONS RD, COCONUT CREEK, FL 33073
(954) 570-9595
(954) 354-8151
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
120366
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012907800
—
FL
Enumeration date
05/18/2010
Last updated
06/04/2021
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