CARLOS ENRIQUE LEIVA

MIAMI, FL
NPI1003460999
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  11003521)
Enumeration Date2019-07-29
Last Update Date2019-07-29
Business Address
CARLOS ENRIQUE LEIVA
206 SW 76TH AVE
MIAMI, FL 33144-2426
Phone number: 786-366-1153
Mailing Address
CARLOS ENRIQUE LEIVA
206 SW 76TH AVE
MIAMI, FL 33144-2426
Phone number: 786-366-1153
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