Leonard, Theodore

Leonard, Theodore is an sole proprietor health care provider with primary practice located at 1448 Gailwood Cir N , Jacksonville FL 32218-5286. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Driving and Community Mobility, which is considered as his primary health care specialty. Leonard, Theodore can be contacted via phone (090) 469-7646.

Contact Information

Primary practice address
1448 Gailwood Cir N Jacksonville FL 32218-5286
Phone: (090) 469-7646
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Driving and Community Mobility 225XR0403X Florida

Profile Details

NPI number 1417588336
LBN Legal business name Leonard, Theodore
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2020
Last updated Jan 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417588336 NPPES
Florida Other 84-4498219 TRANPORTAION DRIVER
Florida MEDICAID 84-4498219 TRANPORTAION DRIVER

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