De Leon, Maria Clemencia

De Leon, Maria Clemencia is an sole proprietor health care provider with primary practice located at 16612 Nw 71St Ct , Miami Lakes FL 33014-7105. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. De Leon, Maria Clemencia can be contacted via phone (954) 540-8907.

Contact Information

Primary practice address
16612 Nw 71St Ct Miami Lakes FL 33014-7105
Phone: (954) 540-8907
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT3989 Florida

Profile Details

NPI number 1609052448
LBN Legal business name De Leon, Maria Clemencia
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2008
Last updated Jul 1st, 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 1609052448 NPPES
Other E 6986 MEDICARE

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