Shore, Leon Lawrence

Shore, Leon Lawrence is an sole proprietor health care provider with primary practice located at 10111 W Oakland Park Blvd , Sunrise FL 33351-6917. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Shore, Leon Lawrence can be contacted via phone (954) 741-1533.

Contact Information

Primary practice address
10111 W Oakland Park Blvd Sunrise FL 33351-6917
Phone: (954) 741-1533
Fax: (954) 318-0772
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS0001600 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X OS0001600 Florida

Profile Details

NPI number 1306066121
LBN Legal business name Shore, Leon Lawrence
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2007
Last updated Jun 25th, 2010 - about 16 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 1306066121 NPPES
Florida MEDICAID 046682400

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