OrganizationActive
Advance Autonomous Medical Group
NPI 1972233815 · Adult Health Nurse Practitioner · Miramar, FL
Provider details
- NPI number
- 1972233815
- Entity type
- Organization
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Carlos Leon, Autonomous Nurse Practitioner(786) 631-8382
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2103 Renaissance Blvd Apt 107
Miramar, FL 33025-5691
Phone: (786) 631-8382
Approximate (ZIP-level) locationGet directions
Mailing address
2103 Renaissance Blvd Apt 107
Miramar, FL 33025-5691
Registry dates
- Enumerated
- 2022-06-14
- Last updated
- 2023-03-13
- Certified
- 2023-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.