Leon Lawrence Shore in Sunrise - General Practice
Leon Lawrence Shore - NPI 1306066121
Leon Lawrence Shore is a General Practice in Sunrise, Florida. Leon Lawrence Shore practices all healthcare services and medical treatments related to General Practice. 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 |
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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 |
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Provider Enumeration Date | 2007-04-26 |
Last Updated Date | 2010-06-25 |
Provider Mailing Address Detail
Address | 10111 W Oakland Park Blvd |
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City | Sunrise |
State | Florida (FL) |
Post Code | 333516917 |
Phone Number | 9547411533 |
Fax Number | 9543180772 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 208D00000X |
Licence No | OS0001600 |
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
46682400 | FL | -- |
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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 General Practice, and it falls under the taxonomy code 208D00000X, 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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