Individual
LEONIDAS FENELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
7531 FAIRWAY BLVD, MIRAMAR, FL 33023-6500
(954) 383-1851
Mailing address
7531 FAIRWAY BLVD, MIRAMAR, FL 33023-6500
(954) 383-1851
Taxonomy
Speciality
Code
Description
License number
State
2278G1100X
General Care Certified Respiratory Therapist
RT11776
FL
227900000X
Registered Respiratory Therapist
Primary
RT11776
FL
Other
Enumeration date
10/26/2012
Last updated
01/08/2013
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