Individual
LEON HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7522 CAROLTON CIR, TAMPA, FL 33619-4706
(813) 514-3595
Mailing address
PO BOX 82857, TAMPA, FL 33682-2857
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
—
FL
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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