Provider Demographics
NPI:1588826275
Name:ESTERRA, LEORA (MD)
Entity Type:Individual
Prefix:DR
First Name:LEORA
Middle Name:
Last Name:ESTERRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14260 W NEWBERRY RD # 118
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32669-2765
Mailing Address - Country:US
Mailing Address - Phone:646-770-7730
Mailing Address - Fax:
Practice Address - Street 1:2240 NW 40TH TER STE A
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-3590
Practice Address - Country:US
Practice Address - Phone:646-770-7730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2022-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2543442085R0202X
CT0517552085R0202X
NJ25MA092882002085R0202X
FLME106295202D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202D00000XAllopathic & Osteopathic PhysiciansIntegrative Medicine
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology