RAFAEL J LEON MD PA
Osteopathic Medicine at Medical Dr, Dade City, FL

License number
Florida ME 60887
Category
Osteopathic Medicine
Type
Hematology & Oncology
Owner
Name: DR. RAFAEL J LEON M.D.
Title: PRESIDENT
Phone: (813) 788-1776
Address
Address
37227 Medical Dr, Dade City, FL 33525
National Provider ID: 1528255411
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about RAFAEL J LEON MD PA at bizstanding.com

RAFAEL J. LEON, M.D., PA

37227 Medical Dr, Dade City, FL 33525

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Sep 19, 1994
Inactive since:
Sep 24, 2010
State ID:
P94000069471
Business type:
Florida Profit Corporation
President, Vice Presidents:
Rafael J Leon President, inactive, 37227 Medical Dr, Dade City, FL 33525 (Physical),Lynne Arn Leon President, Vice President, inactive, 37227 Medical Dr, Dade City, FL 33525 (Physical)
Agent:
Lynne Leon,37227 Medical Dr, Dade City, FL 33525 (Physical)
EIN:
593257542

Osteopathic Medicine licenses in Florida










Other Doctors licenses in Florida