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NPI Code Detail

MEDICARE: LEONARDO PEREIRA ALEXANDRE

MEDICARE:   LEONARDO  PEREIRA ALEXANDRE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramFL

General Provider Information

NPI Number : 1023965761
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEONARDO PEREIRA ALEXANDRE
Provider Business Mailing Address
First Line : 7432 RIPPLEPOINTE WAY
Second Line :
City : WINDERMERE
State : FL
Zip : 34786-5717
Country : US
Telephone Number : 321-389-0238
Fax Number :
Provider Business Practice Location Address
First Line : 7432 RIPPLEPOINTE WAY
Second Line :
City : WINDERMERE
State : FL
Zip : 34786-5717
Country : US
Telephone Number : 321-389-0238
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 06/17/2026

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Directions to “ LEONARDO PEREIRA ALEXANDRE ” Practice Location

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