Leon, Delisha Woodson

Leon, Delisha Woodson is an individual health care provider with primary practice located at 520 Kanuha Dr , Fort Walton Beach FL 32547-5017. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Leon, Delisha Woodson can be contacted via phone (850) 543-2421.

Contact Information

Primary practice address
520 Kanuha Dr Fort Walton Beach FL 32547-5017
Phone: (850) 543-2421
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X Florida

Profile Details

NPI number 1437220027
LBN Legal business name Leon, Delisha Woodson
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jan 14th, 2020 - about 4 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 1437220027 NPPES
Florida MEDICAID 811776400

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