Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leodez

Organization Adult Medicine Physician · NPI 1255933115

Leodez is an Adult Medicine Physician in Tucker, Georgia. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3

Practice location Address checks out

4292 Chamblee Tucker Rd
Tucker, GA 30084-2103
Phone: (770) 718-1517
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Adult Medicine Physician Taxonomy 207QA0505X
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X

Record details

NPI number1255933115
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationB Mata LLC
Authorized official Byron Mata — Owner · (786) 427-4450
Other names Centro Medico San Lucas
NPI enumeratedNovember 14, 2020
Last updated in NPPESNovember 14, 2020
Certification dateNovember 14, 2020
Mailing address3899 Grassland Loop, Lake Mary, FL 32746-4120

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