Organization
ADVANCE AUTONOMOUS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS ALBERTO LEON APRN (AUTONOMOUS NURSE PRACTITIONER)
(786) 631-8382
Entity
Organization
Contact information
Practice address
2103 RENAISSANCE BLVD APT 107, MIRAMAR, FL 33025-5691
(786) 631-8382
Mailing address
2103 RENAISSANCE BLVD APT 107, MIRAMAR, FL 33025-5691
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
03/13/2023
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