Ellie Leonard

NPI #1518334192 in Fort Pierce, Florida

Provider Information

NPI Number: 1518334192
Entity Type: Individual
Name: Ellie Leonard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Aug 30, 2015
Last Updated: Aug 30, 2015

Practice Location

Address: 1804 BLUE HERON LN
City: Fort Pierce
State: Florida
ZIP Code: 34982-8049
Phone: (423) 432-1331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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