Provider Demographics
NPI:1033535935
Name:PEREZ OSORIA, LEONELA MARIA (APRN,FNP)
Entity Type:Individual
Prefix:
First Name:LEONELA
Middle Name:MARIA
Last Name:PEREZ OSORIA
Suffix:
Gender:F
Credentials:APRN,FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4021 THOMAS ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3540
Mailing Address - Country:US
Mailing Address - Phone:786-262-2319
Mailing Address - Fax:
Practice Address - Street 1:1150 N 35TH AVE STE 675
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-5472
Practice Address - Country:US
Practice Address - Phone:954-966-2133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-16
Last Update Date:2021-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9377845363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily