Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | CH8507 | FL |
Y | 111NR0200X | Radiology | CH8507 | FL |
Y | 213ER0200X | Radiology | CH8507 | FL |
NPI | 1336312925 |
---|---|
Provider Name | Dr. Leonard M Linardos |
First Address | Holiday, FL 34691-5536 |
Second Address | Holiday, FL 34691-5536 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2008 |
Last Update Date | 13/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1336312925 | (05) | FL |
381634600 | (05) | FL |