Provider Demographics
NPI:1962727917
Name:GEDEON, LEON STEPHANE (MD)
Entity type:Individual
Prefix:DR
First Name:LEON
Middle Name:STEPHANE
Last Name:GEDEON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11011 SHERIDAN ST STE 215
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33026-1531
Mailing Address - Country:US
Mailing Address - Phone:954-842-4285
Mailing Address - Fax:954-671-0215
Practice Address - Street 1:11011 SHERIDAN ST STE 215
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33026-1531
Practice Address - Country:US
Practice Address - Phone:954-842-4285
Practice Address - Fax:954-671-0215
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME116803207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL009089700Medicaid
FLHN746ZMedicare PIN