Leon, Michael J

Leon, Michael J is an individual health care provider with primary practice located at 2420 S Babcock St , Melbourne FL 32901-5356. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Leon, Michael J can be contacted via phone (321) 725-4755.

Contact Information

Primary practice address
2420 S Babcock St Melbourne FL 32901-5356
Phone: (321) 725-4755
Fax: (321) 725-5088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OP0002189 Florida

Profile Details

NPI number 1255311460
LBN Legal business name Leon, Michael J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Feb 13th, 2008 - about 16 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 1255311460 NPPES
Florida Other 38200 BCBS
Florida Other 38200A BCBS

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