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LEON MEDICAL CENTERS LLC NPI 1629102587


NPI Information

NPI: 1629102587
Provider Name: LEON MEDICAL CENTERS LLC

Doing Business As: LEON MEDICAL CENTERS

Classification: Pharmacy - 3336M0003X
Entity Type: Organization

Specialization: Managed Care Organization Pharmacy

CLIA Number: 10D0940555

Address:
101 SW 27TH AVE
MIAMI, FL
ZIP 33135
Phone: (305) 644-6401
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LEON MEDICAL CENTERS LLC is a managed care organization pharmacy pharmacy in Miami, FL. The provider is a pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only. LEON MEDICAL CENTERS LLC NPI is 1629102587. The provider is registered as an organization entity type.
The provider Is Doing Business As Leon Medical Centers.

The provider's business location address is:

101 SW 27TH AVE
MIAMI, FL
ZIP 33135-428
Phone: (305) 644-6401
Fax: (305) 646-2283

The provider's authorized official is Jorge Acosta .
The authorized official title is Director Of Pharmacy and has the following contact phone number (305) 631-4427.

The CLIA number assigned to this NPI record is 10D0940555 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 3/5/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0002XPharmacyClinic PharmacyNo
23336M0003XPharmacyManaged Care Organization PharmacyPH14392FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11081619OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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