Individual
GLADYS G DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
690 S GOLDENROD RD, ORLANDO, FL 32822-8108
(407) 792-1144
(407) 232-9807
Mailing address
690 S GOLDENROD RD, ORLANDO, FL 32822-8108
(407) 792-1144
(407) 232-9807
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
4435
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0278926
—
OH
Enumeration date
03/24/2006
Last updated
08/26/2022
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