Individual
MR. LEO LUNDY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
2632 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34953-2845
(321) 895-0778
Mailing address
2632 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34953-2845
(321) 895-0778
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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