Individual
SHANNAN MARIA LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9900 W COLONIAL DR, OCOEE, FL 34761-3448
(321) 843-7497
(321) 843-7497
Mailing address
9900 W COLONIAL DR, OCOEE, FL 34761-3448
(321) 843-7497
(321) 843-7497
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11008729
FL
363LF0000X
Family Nurse Practitioner
APRN11008729
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114377000
—
FL
01
—
O4069
MEDICARE HF
FL
Enumeration date
06/21/2013
Last updated
01/09/2025
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