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Organization
LEONARD R CACIOPPO MD PA
Active
Organization
LEONARD R CACIOPPO MD PA
Active
Other names
Hernando Eye Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD R CACIOPPO MD (DIRECTOR)
(352) 596-4030
Entity
Organization
Contact information
Practice address
14543 CORTEZ BLVD, BROOKSVILLE, FL 34613-6065
(352) 596-4030
(352) 596-1997
Mailing address
14543 CORTEZ BLVD, BROOKSVILLE, FL 34613-6065
(352) 596-4030
(352) 596-1997
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400447
GHI
FL
01
—
5670278
AETNA
FL
01
—
72166
BLUE CROSS BLUE SHIELD
FL
01
—
CM8147
RAILROAD MEDICARE
FL
Enumeration date
06/14/2005
Last updated
09/22/2010
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