Provider Demographics
NPI:1134477722
Name:LEONARD, STEVEN
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:LEONARD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 82ND AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32966-6990
Mailing Address - Country:US
Mailing Address - Phone:772-778-7217
Mailing Address - Fax:772-778-7220
Practice Address - Street 1:1910 82ND AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32966-6990
Practice Address - Country:US
Practice Address - Phone:772-778-7217
Practice Address - Fax:772-778-7220
Is Sole Proprietor?:No
Enumeration Date:2012-08-29
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator