Individual
MARIO LEANDRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, D. PHARM
Contact information
Practice address
1700 S 23RD ST, FORT PIERCE, FL 34950-4803
(772) 461-4000
Mailing address
6431 FANNIN ST STE MSB 5195, HOUSTON, TX 77030-1501
(713) 500-6113
(713) 500-0528
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME145188
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2015
Last updated
06/19/2020
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