Individual
LEONARD GERARD SASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4207
(904) 702-6089
Mailing address
9191 R G SKINNER PKWY UNIT 703, JACKSONVILLE, FL 32256-9662
(904) 619-1386
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
PA9105451
FL
363A00000X
Physician Assistant
PA9105451
FL
Other
Enumeration date
05/21/2010
Last updated
11/13/2020
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