Individual
MS. CHARISE MARIE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 SW 16TH AVE BLDG B, GAINESVILLE, FL 32608-1153
(352) 294-8588
Mailing address
1701 SW 16TH AVE BLDG B, GAINESVILLE, FL 32608-1153
(352) 294-8588
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690540496
—
FL
Enumeration date
09/14/2022
Last updated
09/14/2022
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