Individual
LEONARDO FAVIO TAUZARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TARGETED CASE MANAGE
Contact information
Practice address
801 DOUGLAS AVE STE 208, ALTAMONTE SPRINGS, FL 32714-5206
(407) 830-6412
Mailing address
497 SUN LAKE CIR, APT 103, LAKE MARY, FL 32746-6164
(407) 360-0989
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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