Provider Demographics
NPI:1376980144
Name:LEON CHIROPRACTIC INC
Entity Type:Organization
Organization Name:LEON CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:J
Authorized Official - Last Name:LEON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-641-5366
Mailing Address - Street 1:3471 N FEDERAL HWY
Mailing Address - Street 2:SUITE 402
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33306-1019
Mailing Address - Country:US
Mailing Address - Phone:954-641-5366
Mailing Address - Fax:954-306-3886
Practice Address - Street 1:3471 N FEDERAL HWY
Practice Address - Street 2:SUITE 402
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33306-1019
Practice Address - Country:US
Practice Address - Phone:954-641-5366
Practice Address - Fax:954-306-3886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8296111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty