De Leon, Augusto R.

De Leon, Augusto R. is an sole proprietor health care provider with primary practice located at 309 Palm Coast Pkwy Ne , Palm Coast FL 32137-3886. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. De Leon, Augusto R. can be contacted via phone (386) 445-7073.

Contact Information

Primary practice address
309 Palm Coast Pkwy Ne Palm Coast FL 32137-3886
Phone: (386) 445-7073
Fax: (386) 445-7464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X ME0066795 Florida

Profile Details

NPI number 1982664165
LBN Legal business name De Leon, Augusto R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated Feb 22nd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982664165 NPPES
Florida Other P01079727 RAILROAD
Florida Other 28145 RAILROAD
Florida MEDICAID 255265500 RAILROAD

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