Individual
LEONIE TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
198 DOVE CIR, ROYAL PALM BEACH, FL 33411-1705
(561) 312-7571
(561) 557-8503
Mailing address
198 DOVE CIR, ROYAL PALM BEACH, FL 33411-1705
(561) 312-7571
(561) 557-8503
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906718
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6906718
—
FL
Enumeration date
02/05/2015
Last updated
02/05/2015
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