Moraes, Leandro Petersen

Moraes, Leandro Petersen is an individual health care provider with primary practice located at 3501 Health Center Blvd Ste 1119 , Estero FL 34135-8135. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Moraes, Leandro Petersen can be contacted via phone (239) 343-9567.

Contact Information

Primary practice address
3501 Health Center Blvd Ste 1119 Estero FL 34135-8135
Phone: (239) 343-9567
Fax: (239) 343-9571
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 0101266765 Virginia
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X ME151070 Florida

Profile Details

NPI number 1285078527
LBN Legal business name Moraes, Leandro Petersen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2013
Last updated Jun 27th, 2024 - about 5 months 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 1285078527 NPPES
Florida MEDICAID 111609400

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