Leon, Carlos A

Leon, Carlos A is an individual health care provider with primary practice located at 2300 Park Avenue Suite 101-B, Orange Park FL 32073-5072. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Leon, Carlos A can be contacted via phone (904) 264-0088.

Contact Information

Primary practice address
2300 Park Avenue Suite 101-B Orange Park FL 32073-5072
Phone: (904) 264-0088
Fax: (904) 264-0099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME56274 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 023844 Georgia

Profile Details

NPI number 1679576870
LBN Legal business name Leon, Carlos A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated May 28th, 2014 - about 11 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 1679576870 NPPES
Florida Other 100724 AVMED
Florida Other 2006421 AVMED
Florida MEDICAID 00424135A AVMED
Florida MEDICAID 062517500 AVMED
Florida Other 08605 AVMED
Florida Other 814095 AVMED
Florida MEDICAID 00424135C AVMED

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