Leon, Michelle G

Leon, Michelle G is an individual health care provider with primary practice located at 4825 Sw 148Th Ave , Davie FL 33330. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Leon, Michelle G can be contacted via phone (954) 990-6901.

Contact Information

Primary practice address
4825 Sw 148Th Ave Davie FL 33330
Phone: (954) 990-6901
Fax: (954) 832-0063
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP1896212 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X NP1896212 Florida

Profile Details

NPI number 1962561647
LBN Legal business name Leon, Michelle G
Credentials APRN 1896212
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Sep 23rd, 2025 - about last year

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 1962561647 NPPES
Florida MEDICAID 300722700

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