Individual
DR. CARLOS A LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
160 JFK DR, STE 102, ATLANTIS, FL 33462-6632
(561) 439-0961
(561) 439-0905
Mailing address
160 JFK DR, STE 102, ATLANTIS, FL 33462-6632
(561) 439-0961
(561) 439-0905
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME90124
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43219
BCBS INDIVIDUAL #
FL
Enumeration date
10/28/2005
Last updated
01/13/2022
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