Rawner, Leon

Rawner, Leon is an individual health care provider with primary practice located at 2500 E Hallandale Beach Blvd Ste 301 , Hallandale Beach FL 33009-4835. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Rawner, Leon can be contacted via phone (954) 458-2572.

Contact Information

Primary practice address
2500 E Hallandale Beach Blvd Ste 301 Hallandale Beach FL 33009-4835
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 120366 Florida

Profile Details

NPI number 1700105616
LBN Legal business name Rawner, Leon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2010
Last updated Jun 4th, 2021 - about 3 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 1700105616 NPPES
Florida MEDICAID 012907800

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