Anderson, Leslie Marie

Anderson, Leslie Marie is an individual health care provider with primary practice located at 1005 Mar Walt Dr , Fort Walton Beach FL 32547-6707. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Anderson, Leslie Marie can be contacted via phone (850) 863-6600.

Contact Information

Primary practice address
1005 Mar Walt Dr Fort Walton Beach FL 32547-6707
Phone: (850) 863-6600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND9301 Florida

Profile Details

NPI number 1114242781
LBN Legal business name Anderson, Leslie Marie
Credentials LDN RD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2010
Last updated Dec 10th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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