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Ernest De Leon, Md, Pa
Primary Care Clinic/Center in Lake City, Florida
NPI 1114149234

Ernest De Leon, Md, Pa is a Primary Care Clinic/Center based in Lake City, FL and is specialized in Primary Care. Ernest De Leon, Md, Pa practices in Lake City, FL. The NPI Number for Ernest De Leon, Md, Pa is 1114149234 and holds a License No. 0061518 (Florida).

The current practice location address for Ernest De Leon, Md, Pa is 4225 Nw American Ln, Lake City, FL and can be reached out via phone at 386-758-6141.

Location: 4225 Nw American Ln, Lake City, FL, 32055-4881
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114149234
Provider Name
Ernest De Leon, Md, Pa
Credential
Provider Entity Type
Organization
Address
4225 Nw American Ln, Lake City, FL, 32055-4881
Phone Number
386-758-6141
Fax Number
Provider Enumeration Date
05/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4225 Nw American Ln
City
Lake City
State
Florida
Zip
32055-4881
Phone Number
386-758-6141
Fax Number
person
Provider Business Mailing Address Details
Address
4225 Nw American Ln
City
Lake City
State
Florida
Zip
32055-4881
Phone Number
386-758-6141
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
0061518 (Florida)
Definition
Definition to come...
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