| Doctor Name: | DR. LEILA RYNO |
| NPI Number: | 1255683702 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 5382 |
| Business Practice Address: | 2089 S Ridgewood Ave South Daytona, FL - 321192240 |
| Business Phone Number: | 3868984513 |
| Business Fax Number: | 3867604142 |
| Mailing Address: | 2089 S Ridgewood Ave, SOUTH DAYTONA |
| State: | FL |
| Postal Code: | 321192240 |
| Phone Number: | 3868984513 |
| Fax Number: | 3867604142 |
| NPI Enumeration Date: | 10/09/2012 |
| NPI Last Update Date: | 10/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 5382 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |