NPI 1376696963

Jorge J. Leal, M.D., LLC.

Organisation Point of Service Tampa, FL

Practice location

Address: 4710 N Habana Ave Suite 407, Tampa, FL 33614-7161
Phone: (813) 333-0647
Fax: (813) 514-8620

Authorised official

Name: Jorge J Leal
Title: President
Phone: (813) 333-0647

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

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Registry record

NPI: 1376696963
Entity type: Organization
NPI issued: 19 Jan 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.