Alonzo, Leslie R
Alonzo, Leslie R is an individual health care provider with primary practice located at 403 Vonderburg Dr Ste 101, Brandon FL 33511-5982. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Alonzo, Leslie R can be contacted via phone (813) 681-1122.Contact Information
Primary practice address
403 Vonderburg Dr Ste 101
Brandon FL 33511-5982
Phone: (813) 681-1122
Fax: (813) 684-4924
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC2323 | Florida |
Profile Details
| NPI number | 1598762395 |
|---|---|
| LBN Legal business name | Alonzo, Leslie R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Sep 11th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598762395 | NPPES |
| Florida | Other | 4388598 | AETNA |
| Florida | Other | 6500152 | AETNA |
| Florida | MEDICAID | 078635700 | AETNA |
| Florida | Other | 2074336 | AETNA |
| Florida | Other | 19254 | AETNA |
Popular Providers
-
Quintero, Ana Ruth
1180 Nikki View Dr Lake Brandon Professional Park, Brandon FL 33511-4868 -
Simeon, Diana Lee
407 W Bloomingdale Ave , Brandon FL 33511-7401 -
Pierce, Ronald R
1933 W Brandon Blvd , Brandon FL 33511-4813 -
Kirkland, Stephanie L
1929A W Brandon Blvd , Brandon FL 33511 -
Walter, Darrell Ray
107 Kingsway Rd , Brandon FL 33510-4601 -
Marquis, Carol M
540 Medical Oaks Ave Ste 103 , Brandon FL 33511-5995 -
Ocasio, John A
227-B Brandon Towne Center Drive , Brandon FL 33511 -
Winkler, Ruth Ann
307 Brandon Town Center Mall , Brandon FL 33511-4723