| Ernest De Leon, Md, Pa | |
|
4225 Nw American Ln Lake City FL 32055-4881 | |
| (386) 758-6141 | |
| Not Available |
| Full Name | Ernest De Leon, Md, Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4225 Nw American Ln, Lake City, Florida |
| Authorized Official Name and Position | Ernest Paul De Leon (OWNER) |
| Authorized Official Contact | 3867586141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ernest De Leon, Md, Pa 4225 Nw American Ln Lake City FL 32055-4881 Ph: (386) 758-6141 | Ernest De Leon, Md, Pa 4225 Nw American Ln Lake City FL 32055-4881 Ph: (386) 758-6141 |
| NPI Number | 1114149234 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114149234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0061518 (Florida) | Primary |
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