Individual
FABIO LEONELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12901 BRUCE B DOWNS BLVD, MDC 87, TAMPA, FL 33612-4742
(813) 259-0600
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME89064
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
ME89064
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82446
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/18/2006
Last updated
02/22/2008
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