Individual
LEONARD R CACIOPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14543 CORTEZ BLVD, BROOKSVILLE, FL 34613-6065
(352) 596-4030
(352) 596-1997
Mailing address
14543 CORTEZ BLVD, BROOKSVILLE, FL 34613-6065
(352) 596-4030
(352) 596-1997
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME035752
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00008818
ADVANTICA
FL
05
—
038281700
—
FL
Enumeration date
11/14/2006
Last updated
02/08/2010
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