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Individual

DR. ELISE ROBERTA LEONARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8890 W. OAKLAND PARK BLVD, SUITE 300, SUNRISE, FL 33351
(954) 746-7040
(954) 572-0906
Mailing address
P.O. BOX 39209, SUITE 300, FT. LAUDERDATE, FL 33339
(954) 851-9966
(954) 318-7360

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME0039592
FL
207W00000X
Ophthalmology Physician
Primary
ME39592
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
066862100
FL
Enumeration date
04/06/2006
Last updated
03/22/2021
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