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Individual

DR. SHARON E LEONARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 390-3600
(904) 390-3422
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME91378
FL
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
ME91378
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
278870500
FL
05
349531852A
GA
Enumeration date
02/28/2007
Last updated
10/21/2011
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