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

Dr. Gary Wayne De Leon II, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093452468

Dr. Gary Wayne De Leon II, DO is a Student in an Organized Health Care Education/Training Program in Miami Gardens, Florida. Works from 2 locations. Licensed in Florida and Texas.

Licensed in
FL, TX
In the registry since
2022
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1825 NW 167th St Ste 108
Miami Gardens, FL 33056-4838
Phone: (305) 624-7450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3601 4th Street Mail Stop 8143, Lubbock, TX 79430 — (806) 743-6130

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS21806 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence BP10080329 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence U7411 (TX)

Record details

NPI number1093452468
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 17, 2022
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address1825 Nw 167th St, Miami Gardens, FL 33056-4838

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