Maiolatesi, Leonard Raymond

Maiolatesi, Leonard Raymond is an sole proprietor health care provider with primary practice located at 9350 Highway 49 , Gulfport MS 39503-4213. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Maiolatesi, Leonard Raymond can be contacted via phone (228) 863-1859.

Contact Information

Primary practice address
9350 Highway 49 Gulfport MS 39503-4213
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 711 Mississippi

Profile Details

NPI number 1942406269
LBN Legal business name Maiolatesi, Leonard Raymond
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2007
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Popular Providers