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Leodan Lantigua SR.
Clinic/Center in Miami, Florida
NPI 1518329911

Leodan Lantigua SR. is a Clinic/Center based in Miami, FL. Leodan Lantigua SR. practices in Miami, FL. The NPI Number for Leodan Lantigua SR. is 1518329911 and holds a License No. OS12142 (Florida).

The current practice location address for Leodan Lantigua SR. is 960 Sw 82 Ave, Miami, FL and can be reached out via phone at 305-266-7556 and via fax at 305-266-7557.

Location: 960 Sw 82 Ave, Miami, FL, 33144-0846
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518329911
Provider Name
Leodan Lantigua SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
960 Sw 82 Ave, Miami, FL, 33144-0846
Phone Number
305-266-7556
Fax Number
305-266-7557
Provider Enumeration Date
03/24/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
960 Sw 82 Ave
City
Miami
State
Florida
Zip
33144
Phone Number
305-266-7556
Fax Number
305-266-7557
person
Provider Business Mailing Address Details
Address
960 Sw 82 Ave
City
Miami
State
Florida
Zip
33144
Phone Number
305-266-7556
Fax Number
305-266-7557
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
HCC8713 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
OS12142 (Florida)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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