Individual
LEONIDAS FENELON
Active
Individual
LEONIDAS FENELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
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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