Individual
CARLOS ALBERTO LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10330 NUVISTA AVE, WELLINGTON, FL 33414-9365
(872) 231-3162
Mailing address
PO BOX 734951, CHICAGO, IL 60673-4951
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11007687
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109153400
—
FL
Enumeration date
07/02/2020
Last updated
06/04/2026
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