Individual
DR. THOMAS KELLER LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 E DIXIE AVE, LEESBURG, FL 34748-5925
(352) 323-5762
Mailing address
3114 CROASDAILE DR, SUITE 200, DURHAM, NC 27705-2508
(919) 425-1565
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME73798
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252590900
—
FL
05
—
279940500
—
FL
Enumeration date
06/14/2006
Last updated
11/09/2009
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