Leonard, Elise Roberta

Leonard, Elise Roberta is an individual health care provider with primary practice located at 8890 W. Oakland Park Blvd Suite 300, Sunrise FL 33351. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Leonard, Elise Roberta can be contacted via phone (954) 746-7040.

Contact Information

Primary practice address
8890 W. Oakland Park Blvd Suite 300 Sunrise FL 33351
Fax: (954) 572-0906
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0039592 Florida
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME39592 Florida

Profile Details

NPI number 1881656577
LBN Legal business name Leonard, Elise Roberta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Mar 22nd, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881656577 NPPES
Florida MEDICAID 066862100

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