Individual
EMMA LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3663 S MIAMI AVE FL 33133, MIAMI, FL 33133-4253
(305) 854-4400
Mailing address
3663 S MIAMI AVE, MIAMI, FL 33133-4253
(305) 854-4400
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11002093
FL
Other
Enumeration date
02/17/2020
Last updated
03/27/2020
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