Provider Demographics
NPI:1184065005
Name:ROSS, LEONARD CADMORE II (MSW)
Entity type:Individual
Prefix:MR
First Name:LEONARD
Middle Name:CADMORE
Last Name:ROSS
Suffix:II
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11717 NW 22ND CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33167-3060
Mailing Address - Country:US
Mailing Address - Phone:305-244-7554
Mailing Address - Fax:
Practice Address - Street 1:169 E FLAGLER ST STE 1300
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-1205
Practice Address - Country:US
Practice Address - Phone:786-314-0003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)