Provider Demographics
NPI:1619706017
Name:LEON, DANIEL ADRIAN (PHARMD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:ADRIAN
Last Name:LEON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6331 SW 158TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-5573
Mailing Address - Country:US
Mailing Address - Phone:786-357-0473
Mailing Address - Fax:
Practice Address - Street 1:6331 SW 158TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-5573
Practice Address - Country:US
Practice Address - Phone:786-357-0473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS67168183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist