Leon Lawrence Shore in Sunrise - Family Medicine

Leon Lawrence Shore - NPI 1306066121

Leon Lawrence Shore is a Family Medicine in Sunrise, Florida. Leon Lawrence Shore practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Leon Lawrence Shore is 1306066121. The last update date is 2010-06-25.

Leon Lawrence Shore's current location address is 10111 W Oakland Park Blvd, Sunrise, Florida. You can contact this provider via phone number 9547411533 and fax number 9543180772. The mailing address for Leon Lawrence Shore is 10111 W Oakland Park Blvd, Sunrise, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Leon Lawrence Shore
Address 10111 W Oakland Park Blvd, Sunrise, Florida
Phone Number 9547411533
Fax Number 9543180772
Sole Proprietor Y
Credentials DO

NPI Number Detail

NPI Number 1306066121
Provider Enumeration Date 2007-04-26
Last Updated Date 2010-06-25

Provider Mailing Address Detail

Address 10111 W Oakland Park Blvd
City Sunrise
State Florida (FL)
Post Code 333516917
Phone Number 9547411533
Fax Number 9543180772

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No OS0001600
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
46682400 FL --

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FAQs about Leon Lawrence Shore

What is the unique 10-digit identifier code issued to Leon Lawrence Shore by the Centers for Medicare & Medicaid Services?

The Leon Lawrence Shore has been assigned the NPI (National Provider Identifier) 1306066121 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Leon Lawrence Shore's facilities are situated?

The facilities of Leon Lawrence Shore are physically located at the following address: 10111 W Oakland Park Blvd, Sunrise, FL, 333516917.

What is the Leon Lawrence Shore's area of specialization and corresponding taxonomy classification?

The Leon Lawrence Shore's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.

On what date was the 1306066121 assigned to Leon Lawrence Shore?

The Leon Lawrence Shore was issued its 1306066121 on 2007-04-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Leon Lawrence Shore last refreshed?

The information related to the Leon Lawrence Shore, including its address, specialty, and other relevant details, was last updated on 2010-06-25.

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