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Individual

DR. MARINO ENRIQUE LEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 SW ARCHER RD, ANATOMIC PATHOLOGY, GAINESVILLE, FL 32610-0275
(352) 627-9260
(352) 627-9242
Mailing address
1600 SW ARCHER RD, ANATOMIC PATHOLOGY, GAINESVILLE, FL 32610-0275
(352) 627-9260
(352) 627-9242

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
ME 96672
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35.088499
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD068252L
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME 96672
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002446900
FL
Enumeration date
08/04/2005
Last updated
02/06/2017
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