Leon, Irene C

Leon, Irene C is an individual health care provider with primary practice located at 874 E 41St St , Hialeah FL 33013-2455. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Geriatric, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Leon, Irene C can be contacted via phone (305) 693-0441.

Contact Information

Primary practice address
874 E 41St St Hialeah FL 33013-2455
Phone: (305) 693-0441
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Geriatric 1835G0303X 19668 Florida
Pharmacy Service Providers / Pharmacist 183500000X 19688 Florida

Profile Details

NPI number 1063081818
LBN Legal business name Leon, Irene C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2021
Last updated Jan 27th, 2022 - about 3 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 1063081818 NPPES
Florida MEDICAID 1659465342

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