Provider Demographics
NPI:1194039594
Name:LEON F HIRZEL III MD LLC
Entity Type:Organization
Organization Name:LEON F HIRZEL III MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEON
Authorized Official - Middle Name:FRANCISCO
Authorized Official - Last Name:HIRZEL
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:305-642-1401
Mailing Address - Street 1:PO BOX 431401
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33243-1401
Mailing Address - Country:US
Mailing Address - Phone:305-642-1401
Mailing Address - Fax:305-642-1403
Practice Address - Street 1:330 SW 27TH AVE
Practice Address - Street 2:SUITE 503
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2961
Practice Address - Country:US
Practice Address - Phone:305-642-1401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-28
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty