Individual
MR. MARK ANTHONY LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
9330 STATE ROAD 54, MEDICAL CENTER OF TRINITY, TRINITY, FL 34655
(727) 834-4000
Mailing address
14612 CHATSWORTH MANOR CIR, TAMPA, FL 33626-3304
(813) 389-3884
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA509
FL
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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