Individual
LEONEL DEJESUS BLANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.- C
Contact information
Practice address
3181 CORAL WAY FL 4, MIAMI, FL 33145-3229
(305) 856-1002
Mailing address
14302 SW 76TH ST, MIAMI, FL 33183-2908
(305) 794-4191
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9104694
FL
Other
Enumeration date
09/26/2008
Last updated
01/14/2026
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