OrganizationActive
Ernest De Leon, MD, PA
NPI 1114149234 · Primary Care Clinic/Center · Lake City, FL
Provider details
- NPI number
- 1114149234
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ernest De Leon, Owner(386) 758-6141
- License
- 0061518 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4225 Nw American Ln
Lake City, FL 32055-4881
Phone: (386) 758-6141
Street-level locationGet directions
Mailing address
4225 Nw American Ln
Lake City, FL 32055-4881
Registry dates
- Enumerated
- 2007-05-02
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.