Provider Demographics
NPI:1023437613
Name:LEON MEDICAL CENTERS, LLC
Entity type:Organization
Organization Name:LEON MEDICAL CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MAURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-907-4147
Mailing Address - Street 1:4795 W FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1470
Mailing Address - Country:US
Mailing Address - Phone:305-443-6666
Mailing Address - Fax:305-443-6696
Practice Address - Street 1:4795 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1470
Practice Address - Country:US
Practice Address - Phone:305-443-6666
Practice Address - Fax:305-443-6696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-10
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0033368207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty