Leon Astudillo, Carmen Elisa

Leon Astudillo, Carmen Elisa is an individual health care provider with primary practice located at 1600 Sw Archer Rd # 100296 , Gainesville FL 32610. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is her primary health care specialty. Leon Astudillo, Carmen Elisa can be contacted via phone (513) 636-4315.

Contact Information

Primary practice address
1600 Sw Archer Rd # 100296 Gainesville FL 32610
Phone: (513) 636-4315
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X ME135299 Florida

Profile Details

NPI number 1699039123
LBN Legal business name Leon Astudillo, Carmen Elisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2012
Last updated Sep 7th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699039123 NPPES
Florida MEDICAID 100114700

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