Individual
LEO VILLAR YASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12200 CORTEZ BLVD, BROOKSVILLE, FL 34613-2630
(352) 596-4562
(352) 596-8188
Mailing address
12200 CORTEZ BLVD, BROOKSVILLE, FL 34613-2630
(352) 596-4562
(352) 596-8188
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0056417
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371658900
—
FL
Enumeration date
08/18/2005
Last updated
01/13/2010
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