Provider Demographics
NPI:1376759084
Name:FEO AGUIRRE, LEANDRO JAVIER (MD, FACS)
Entity Type:Individual
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First Name:LEANDRO
Middle Name:JAVIER
Last Name:FEO AGUIRRE
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Gender:M
Credentials:MD, FACS
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Mailing Address - Street 1:1601 CLINT MOORE RD STE 145
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-5720
Mailing Address - Country:US
Mailing Address - Phone:267-226-2288
Mailing Address - Fax:
Practice Address - Street 1:1601 CLINT MOORE RD STE 145
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-5720
Practice Address - Country:US
Practice Address - Phone:561-939-0455
Practice Address - Fax:561-939-5460
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2023-01-13
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Provider Licenses
StateLicense IDTaxonomies
FLME134933208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery