Organization
ACN 'L' MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORLANDO E LEIVA M.D. (PRESIDENT)
(305) 261-5331
Entity
Organization
Contact information
Practice address
7205 SW 8TH ST, MIAMI, FL 33144-4653
(305) 261-5331
(305) 261-5334
Mailing address
7205 SW 8TH ST, MIAMI, FL 33144-4653
(305) 261-5331
(305) 261-5334
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
ACN366
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACN366
STATE OF FLORIDA DEPT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE
FL
Enumeration date
09/24/2013
Last updated
09/24/2013
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