Individual provider · NPI-1

Leonard I Boral

Pathology, Blood Banking & Transfusion Medicine · Miami, FL

NPI number1053535708

StatusActive

Last updated in NPPESFeb 8, 2024

Details

NPI: 1053535708
Entity type: Individual (NPI-1)
Name: Leonard I Boral
Sex: Male
Sole proprietor: No
Enumeration date: Apr 12, 2007
Certification date: Feb 8, 2024
Last updated: Feb 8, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207ZB0001X	Pathology, Blood Banking & Transfusion Medicine	ME305030	FL	Yes
207ZP0102X	Pathology, Anatomic Pathology & Clinical Pathology	ME305030	FL

Practice location

1400 Nw 12th Ave
Miami, FL 33136-1003

Phone 859-323-5425

Mailing address

1400 Nw 12th Ave
Miami, FL 33136-1003

Other practice locations

1611 Nw 12th Ave
Miami, FL 33136-1005

Phone 305-243-5512

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