Individual
DR. LEONARD JAY SHUKOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6927 GREENTREE DR, NAPLES, FL 34108-8528
(239) 591-4138
Mailing address
6927 GREENTREE DR, NAPLES, FL 34108-8528
(239) 591-4138
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
ME 24906
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME 24906
STATE MEDICAL LICENSE
FL
Enumeration date
10/27/2012
Last updated
10/27/2012
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