Gabriel De Leon
Student in an Organized Health Care Education/Training Program in Ft Lauderdale, FL. Individual provider (NPI-1).
NPI number1255152153
StatusActive
Last updated in NPPESOct 23, 2024
Details
- NPI
- 1255152153
- Entity type
- Individual (NPI-1)
- Name
- Gabriel De Leon
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 23, 2024
- Certification date
- Oct 23, 2024
- Last updated
- Oct 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | PSI47435 | FL | Yes |
Practice location
3300 S. University DriveBroward
Ft Lauderdale, FL 33328
Phone 800-541-6682
Mailing address
Urb Sabana Gardens Calle 15 #2123Apt 1
Carolina, PR 00983
Phone 787-604-9257
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All 164 Student in an Organized Health Care Education/Training Program providers in Ft Lauderdale · All 2,374 providers in Ft Lauderdale
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