Provider Demographics
NPI:1811885825
Name:SANCHEZ ORTIZ, LEONARDO (APRN)
Entity type:Individual
Prefix:
First Name:LEONARDO
Middle Name:
Last Name:SANCHEZ ORTIZ
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6809 WILSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-3319
Mailing Address - Country:US
Mailing Address - Phone:813-562-1651
Mailing Address - Fax:
Practice Address - Street 1:6809 WILSHIRE CT
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-3319
Practice Address - Country:US
Practice Address - Phone:813-562-1651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11040307363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner