Healthcare Provider Details

I. General information

NPI: 1790355238
Provider Name (Legal Business Name): LEIGH ANNE SWINGLE LEONARD RDN, CDCES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2021
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 N ORANGE AVE STE 502
ORLANDO FL
32804-5503
US

IV. Provider business mailing address

3101 SUMMER SUN PL APT 8-104
ORLANDO FL
32824-0066
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-2822
  • Fax:
Mailing address:
  • Phone: 817-875-8511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number10021
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: