MEDICARE: DR. LEONARD RAPPA PHARM.D., BCPP

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
1	1835P1300X	Psychiatric Pharmacist	PS30797	FL

General Provider Information

NPI Number	:	1922005446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEONARD RAPPA PHARM.D., BCPP

Provider Business Mailing Address
First Line	:	1530 SW 100TH TER
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33324-7416
Country	:	US
Telephone Number	:	954-987-2020
Fax Number	:	954-985-1578

Provider Business Practice Location Address
First Line	:	1530 SW 100TH TER
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33324-7416
Country	:	US
Telephone Number	:	954-987-2020
Fax Number	:	954-985-1578

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	07/08/2007

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