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:
Health care specialties
| Specialty | Code | License # | 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 4 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 | 1417588336 | NPPES |
| Florida | Other | 84-4498219 | TRANPORTAION DRIVER |
| Florida | MEDICAID | 84-4498219 | TRANPORTAION DRIVER |
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