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Dr Leon Gonyo Dc Pa
Health Service Clinic/Center in Stuart, Florida
NPI 1538345657

Dr Leon Gonyo Dc Pa is a Health Service Clinic/Center based in Stuart, FL and is specialized in Health Service. Dr Leon Gonyo Dc Pa practices in Stuart, FL. The NPI Number for Dr Leon Gonyo Dc Pa is 1538345657 and holds a License No. 9076 (Florida).

The current practice location address for Dr Leon Gonyo Dc Pa is 6096 Se Federal Hwy, Stuart, FL and can be reached out via phone at 772-781-0193 and via fax at 772-781-0197.

Location: 6096 Se Federal Hwy, Stuart, FL, 34997-8101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538345657
Provider Name
Dr Leon Gonyo Dc Pa
Credential
Provider Entity Type
Organization
Address
6096 Se Federal Hwy, Stuart, FL, 34997-8101
Phone Number
772-781-0193
Fax Number
772-781-0197
Provider Enumeration Date
01/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AI167 01 FL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
6096 Se Federal Hwy
City
Stuart
State
Florida
Zip
34997-8101
Phone Number
772-781-0193
Fax Number
772-781-0197
person
Provider Business Mailing Address Details
Address
6096 Se Federal Hwy
City
Stuart
State
Florida
Zip
34997-8101
Phone Number
772-781-0193
Fax Number
772-781-0197
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
9076 (Florida)
Definition
Definition to come...
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