Provider Demographics
NPI:1881555944
Name:MAYOR DE LEON, ILIADYS (NP)
Entity type:Individual
Prefix:
First Name:ILIADYS
Middle Name:
Last Name:MAYOR DE LEON
Suffix:
Gender:F
Credentials:NP
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13180 LIVINGSTON RD STE 205
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-3871
Mailing Address - Country:US
Mailing Address - Phone:239-591-5006
Mailing Address - Fax:239-591-5747
Practice Address - Street 1:13180 LIVINGSTON RD STE 205
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-3871
Practice Address - Country:US
Practice Address - Phone:239-591-5006
Practice Address - Fax:239-591-5747
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-19
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11043781363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology