Provider Demographics
NPI:1851975007
Name:LEAL, NATALY (PHARMD)
Entity Type:Individual
Prefix:
First Name:NATALY
Middle Name:
Last Name:LEAL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 NW 93RD CT STE B109
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-2835
Mailing Address - Country:US
Mailing Address - Phone:305-456-7500
Mailing Address - Fax:305-363-5482
Practice Address - Street 1:1325 NW 93RD CT STE B109
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-2835
Practice Address - Country:US
Practice Address - Phone:305-456-7500
Practice Address - Fax:305-363-5482
Is Sole Proprietor?:No
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS576151835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist