Active NPI
Heloisa Souza Leon, MD
- General Practice Physician
- Kissimmee, FL
National Provider Identifier
1346876497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME86001
- Practice address
- 2951 Tindall Acres Rd
Kissimmee, FL 34744-9235 - Phone
- (407) 412-7468
- NPI assigned
- Mar 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME86001 | FL | Primary |
Addresses
Primary practice location
2951 Tindall Acres Rd
Kissimmee, FL 34744-9235
Mailing address
2950 Tindall Acres Rd
Kissimmee, FL 34744-9213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME86001 | FL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584662400000",
"number": "1346876497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 TINDALL ACRES RD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347449213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2951 TINDALL ACRES RD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347449235",
"telephone_number": "407-412-7468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON",
"first_name": "HELOISA",
"middle_name": "SOUZA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-20",
"last_updated": "2020-03-20",
"certification_date": "2020-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME86001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.