Individual
CARLOS DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1428 SE 26TH RD, HOMESTEAD, FL 33035-2529
(786) 521-0030
Mailing address
1428 SE 26TH RD, HOMESTEAD, FL 33035-2529
(786) 521-0030
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11035614
FL
Other
Enumeration date
10/03/2024
Last updated
04/09/2025
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