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EDWARD KENNA DE LEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0239
(352) 265-1107
Mailing address
PO BOX 100277, GAINESVILLE, FL 32610-0277

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME148580
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/19/2018
Last updated
02/26/2021
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