Organization · Type 2 NPI

Ernest de Leon, Md, PA

Primary Care Clinic/Center · Lake City, FL

NPI number 1114149234 Active

About NPI 1114149234

Ernest de Leon, Md, PA's National Provider Identifier is 1114149234, issued on May 2, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Lake City, FL. The record was last updated on Aug 22, 2020.