Basic Information
Provider Information
NPI: 1265100697
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SANCHEZ LEON
FirstName: VERONICA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
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Mailing Information
Address1: 9024 SW 212TH LN
Address2:  
City: CUTLER BAY
State: FL
PostalCode: 331893857
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 3255 FOREST HILL BLVD STE 107
Address2:  
City: WEST PALM BEACH
State: FL
PostalCode: 334065854
CountryCode: US
TelephoneNumber: 5612757100
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/31/2021
LastUpdateDate: 08/31/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/31/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0200X11012950FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics

No ID Information.


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