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Organization

LEON ROTH M.D. P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBRA FEAGIN (ADMINISTRATOR)
(954) 455-2385
Entity
Organization

Contact information

Practice address
2500 E HALLANDALE BEACH BLVD, SUIT Q,R, HALLANDALE BEACH, FL 33009-4834
(954) 455-2385
(954) 454-5994
Mailing address
2500 E HALLANDALE BEACH BLVD, SUIT Q,R, HALLANDALE BEACH, FL 33009-4834
(954) 455-2385
(954) 454-5994

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME18438
FL

Other

Enumeration date
12/07/2010
Last updated
12/07/2010
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