Individual
LEONITA ROSALYN YACOBA BRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1403 MEDICAL PLAZA DR STE 104, SANFORD, FL 32771-1047
(407) 249-1234
(407) 249-1755
Mailing address
1403 MEDICAL PLAZA DR STE 104, SANFORD, FL 32771-1047
(407) 249-1234
(407) 249-1755
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME153804
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2019
Last updated
06/25/2025
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