Provider Demographics
NPI:1033878251
Name:LEONARD, APRIL
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:LEONARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1719 W SAINT JOSEPH ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-2013
Mailing Address - Country:US
Mailing Address - Phone:813-938-0482
Mailing Address - Fax:
Practice Address - Street 1:1719 W SAINT JOSEPH ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-2013
Practice Address - Country:US
Practice Address - Phone:813-938-0482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-15
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver