Individual
LEONARDO WAGNER FLORENCIO DOS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-5600
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
166882
FL
207RC0000X
Cardiovascular Disease Physician
46862
AL
Other
Enumeration date
03/24/2020
Last updated
07/22/2024
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