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Individual
DR. LEONARD JAY SHUKOVSKY
Active
Individual
DR. LEONARD JAY SHUKOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
ME 24906
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME 24906
STATE MEDICAL LICENSE
FL
Enumeration date
10/27/2012
Last updated
10/27/2012
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