Provider Demographics
NPI:1043630254
Name:ANIJAR, LEON
Entity Type:Individual
Prefix:
First Name:LEON
Middle Name:
Last Name:ANIJAR
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:LEON
Other - Middle Name:
Other - Last Name:ANIJAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3160 N 37TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-1346
Mailing Address - Country:US
Mailing Address - Phone:954-599-9023
Mailing Address - Fax:
Practice Address - Street 1:3160 N 37TH AVE
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-1346
Practice Address - Country:US
Practice Address - Phone:954-599-9023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-27
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1043630254208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine