Individual
DR. ANTHONY JOSEPH LEONCAVALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9657 US HIGHWAY 98 W, MIRAMAR BEACH, FL 32550-7273
(850) 650-6550
(850) 650-6540
Mailing address
2800 ROSS CLARK CIR, DOTHAN, AL 36301-2040
(334) 793-2211
(334) 793-7161
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME112668
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005926000
—
FL
Enumeration date
09/11/2008
Last updated
03/18/2014
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