Individual
VANIOLKY LOSADA LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11215 METRO PKWY STE 1, FORT MYERS, FL 33966-1206
(239) 208-2212
(239) 208-3994
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-1290
(239) 343-4008
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
35C.003033
OH
2084N0400X
Neurology Physician
78061
AZ
2084N0400X
Neurology Physician
Primary
ME148664
FL
2084N0400X
Neurology Physician
W0436
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110747800
—
FL
Enumeration date
06/01/2015
Last updated
04/13/2026
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