| Doctor Name: | DR. ELISE ROBERTA LEONARD |
| NPI Number: | 1881656577 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | ME0039592 |
| Business Practice Address: | 8890 W. Oakland Park Blvd Suite 300 Sunrise, FL - 33351 |
| Business Phone Number: | 9547467040 |
| Business Fax Number: | 9545720906 |
| Mailing Address: | P.o. Box 39209, Suite 300 FT. LAUDERDATE |
| State: | FL |
| Postal Code: | 33339 |
| Phone Number: | 9548519966 |
| Fax Number: | 9543187360 |
| NPI Enumeration Date: | 04/06/2006 |
| NPI Last Update Date: | 04/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | ME0039592 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |