Individual
DR. LEANDRO PETERSEN MORAES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3501 HEALTH CENTER BLVD STE 1119, ESTERO, FL 34135-8135
(239) 343-9567
(239) 343-9571
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9567
(239) 343-9571
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
0101266765
VA
207RX0202X
Medical Oncology Physician
Primary
ME151070
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111609400
—
FL
Enumeration date
04/17/2013
Last updated
06/27/2024
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