Individual
LEOSVEL FRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 PINELLAS ST, CLEARWATER, FL 33756-3804
(813) 870-4015
(813) 605-6269
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA594
FL
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
05/26/2020
Last updated
02/25/2025
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