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1396302121
MARK ANTHONY LEONARD
TRINITY, FL
NPI
1396302121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: FL AA509)
Enumeration Date
2019-05-28
Last Update Date
2019-05-28
Business Address
Mr. MARK ANTHONY LEONARD CAA
9330 STATE ROAD 54 MEDICAL CENTER OF TRINITY
TRINITY, FL 34655
Phone number: 727-834-4000
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Mailing Address
Mr. MARK ANTHONY LEONARD CAA
14612 CHATSWORTH MANOR CIR
TAMPA, FL 33626-3304
Phone number: 813-389-3884
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