Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | ME119027 | FL |
NPI | 1013224427 |
---|---|
Provider Name | Leonardo Brito De Almeida |
First Address | Gainesville, FL 32610-0301 |
Second Address | Gainesville, FL 32610-0371 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2010 |
Last Update Date | 25/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
017440700 | (05) | FL |