Avery, K. Leslie

Avery, K. Leslie is an individual health care provider with primary practice located at Dept Of Pediatric Critical Care Shands 1600 Sw Archer Rd, Ste. 10-504, Box 100296, Gainesville FL 32610-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Avery, K. Leslie can be contacted via phone (352) 265-0462.

Contact Information

Primary practice address
Dept Of Pediatric Critical Care Shands 1600 Sw Archer Rd, Ste. 10-504, Box 100296 Gainesville FL 32610-0001
Phone: (352) 265-0462
Fax: (352) 265-0443
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X ME115725 Florida
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 11316 Nevada
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X A67929 California
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X DR.0071896 Colorado

Profile Details

NPI number 1508859547
LBN Legal business name Avery, K. Leslie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Oct 7th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1508859547 NPPES
Florida MEDICAID 008799300

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