Provider Demographics
NPI:1356526628
Name:LEON, ERIC J (DC)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:J
Last Name:LEON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:3471 N FEDERAL HWY STE 411
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33306-1050
Mailing Address - Country:US
Mailing Address - Phone:954-641-5366
Mailing Address - Fax:954-472-7111
Practice Address - Street 1:10189 CLEARY BLVD STE 103
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1027
Practice Address - Country:US
Practice Address - Phone:954-472-6002
Practice Address - Fax:954-472-7111
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-07
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLCH8296111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor