Provider Demographics
NPI:1922005446
Name:RAPPA, LEONARD (PHARMD, BCPP)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:
Last Name:RAPPA
Suffix:
Gender:M
Credentials:PHARMD, BCPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 SW 100TH TER
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33324-7416
Mailing Address - Country:US
Mailing Address - Phone:954-987-2020
Mailing Address - Fax:954-985-1578
Practice Address - Street 1:1530 SW 100TH TER
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33324-7416
Practice Address - Country:US
Practice Address - Phone:954-987-2020
Practice Address - Fax:954-985-1578
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS307971835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric