Healthcare Provider Details

I. General information

NPI: 1003745910
Provider Name (Legal Business Name): LEONARD SONNENSCHEIN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2026
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6617 NW 24TH AVE
BOCA RATON FL
33496-3635
US

IV. Provider business mailing address

6617 NW 24TH AVE
BOCA RATON FL
33496-3635
US

V. Phone/Fax

Practice location:
  • Phone: 314-609-2798
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1100X
TaxonomyResearch Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: