Provider Demographics
NPI:1144184409
Name:BRENNER, LEONARDO BO
Entity type:Individual
Prefix:MR
First Name:LEONARDO
Middle Name:BO
Last Name:BRENNER
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:LEONARDO
Other - Middle Name:B
Other - Last Name:OLIVEIRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4748 GENERAL CARLOS CARALCANT AVENUE
Mailing Address - Street 2:BLOCK M, DEPARTMENT OF MEDICINE
Mailing Address - City:PONTA GROSSA
Mailing Address - State:PARANA
Mailing Address - Zip Code:CEP84030900
Mailing Address - Country:BR
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4748 GENERAL CARLOS CARALCANT AVENUE
Practice Address - Street 2:BLOCK M, DEPARTMENT OF MEDICINE
Practice Address - City:PONTA GROSSA
Practice Address - State:PARANA
Practice Address - Zip Code:CEP84050000
Practice Address - Country:BR
Practice Address - Phone:
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-11
Last Update Date:2025-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program