Provider Demographics
NPI:1023005212
Name:BYNOE, LEON ALBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:LEON
Middle Name:ALBERT
Last Name:BYNOE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:P.O. BOX 39209
Mailing Address - Street 2:SUITE 112
Mailing Address - City:FT. LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33339
Mailing Address - Country:US
Mailing Address - Phone:954-851-9966
Mailing Address - Fax:954-318-7360
Practice Address - Street 1:1881 N. UNIVERSITY DR.
Practice Address - Street 2:STE. 112
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071
Practice Address - Country:US
Practice Address - Phone:954-755-4633
Practice Address - Fax:954-755-4637
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-03
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 78447207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL257192700Medicaid
BB5445463OtherDEA
G06091Medicare UPIN
46850XMedicare PIN
FL257192700Medicaid