Individual
ELDREY RODRIGUES LEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1395 CENTER DR RM D2-27, GAINESVILLE, FL 32610-3006
(352) 273-7957
Mailing address
3700 WINDMEADOWS BLVD APT K114, GAINESVILLE, FL 32608-0428
(352) 871-6849
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DRPM2382
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UFID56587350
UNIVERSITY OF FLORIDA, COLLEGE OF DENTISTRY
FL
Enumeration date
04/07/2022
Last updated
04/07/2022
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