Leon Gallardo, Leonardo

Leon Gallardo, Leonardo is an sole proprietor health care provider with primary practice located at 11055 Sw 186Th St , Cutler Bay FL 33157-6840. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Leon Gallardo, Leonardo can be contacted via phone (305) 964-5089.

Contact Information

Primary practice address
11055 Sw 186Th St Cutler Bay FL 33157-6840
Phone: (305) 964-5089
Fax: (305) 964-5092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME110249 Florida

Profile Details

NPI number 1255928776
LBN Legal business name Leon Gallardo, Leonardo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2020
Last updated Dec 30th, 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 1255928776 NPPES
Florida MEDICAID 83-3760285

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