ERNEST DE LEON, MD, PA
NPI 1114149234
Clinic/Center - Primary Care in Lake City, FL

Q: What is Ernest De Leon, MD, PA's NPI number?

The NPI number for Ernest De Leon, MD, PA is 1114149234. It was assigned to this organization in the NPPES registry on May 2, 2007.

Q: What is Ernest De Leon, MD, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since May 02, 2007

4225 NW AMERICAN LN, LAKE CITY, FL 32055(386) 758-6141 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ernest De Leon, Md, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERNEST DE LEON, MD, PA (NPI 1114149234) is a healthcare organization registered as a primary care in Lake City, Florida and active in the NPI registry since May 2007. The organization lists Ernest Paul De Leon, Owner, as its authorized official.

NPPES Registry Identity

NPI1114149234

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameERNEST DE LEON, MD, PA

Location Address4225 NW AMERICAN LNLake City, FL 32055-4881

Mailing Address4225 Nw American LnLake City, FL 32055-4881 · (386) 758-6141

Phone(386) 758-6141

Organization SubpartNo

Authorized OfficialErnest Paul De LeonOwner · (386) 758-6141

Enumeration DateMay 2, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1114149234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in FL · 0061518

4225 NW AMERICAN LN, Lake City, FL 32055

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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIANNE LARSEN PA-C

Physician Assistant (Medical)