Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leonardo Gonzalez Bahamonde

Individual provider Physical Therapy Assistant · NPI 1205558467

Leonardo Gonzalez Bahamonde is a Physical Therapy Assistant in Valrico, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022

Practice location Address checks out

2808 Lithia Pinecrest Rd
Valrico, FL 33596-5615
Phone: (813) 573-2905
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA32051 (FL)

Record details

NPI number1205558467
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 14, 2022
Last updated in NPPESSeptember 14, 2022
Certification dateSeptember 14, 2022

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