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Theodore Leonard
NPI 1417588336 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1448 Gailwood Cir N
Jacksonville, FL 32218 - Phone
- (090) 469-7646
Registry record
- Primary taxonomy
- 225XR0403X
225XR0403X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-01-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida