Individual
LEONARDO SANCHEZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
11420 SW 250TH ST, HOMESTEAD, FL 33032-6039
(786) 474-2252
Mailing address
11420 SW 250TH ST, HOMESTEAD, FL 33032-6039
(786) 474-2252
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AG05190022
FL
363LG0600X
Gerontology Nurse Practitioner
AG05190022
FL
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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