Provider Demographics
NPI:1851553457
Name:GUIDONE, LEONARD JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:JOSEPH
Last Name:GUIDONE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22008 NORTHEAST 11TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:WILTON MANORS
Mailing Address - State:FL
Mailing Address - Zip Code:33305-2214
Mailing Address - Country:US
Mailing Address - Phone:954-567-9360
Mailing Address - Fax:954-567-9380
Practice Address - Street 1:22008 NORTHEAST 11TH AVENUE
Practice Address - Street 2:
Practice Address - City:WILTON MANORS
Practice Address - State:FL
Practice Address - Zip Code:33305-2214
Practice Address - Country:US
Practice Address - Phone:954-567-9360
Practice Address - Fax:954-567-9380
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0007148111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor