Buckley, Stephen Leslie

Buckley, Stephen Leslie is an individual health care provider with primary practice located at 1301 Palm Ave , Jacksonville FL 32207-8432. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Buckley, Stephen Leslie can be contacted via phone (904) 202-7300.

Contact Information

Primary practice address
1301 Palm Ave Jacksonville FL 32207-8432
Phone: (904) 202-7300
Fax: (904) 202-7433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X ME68241 Florida

Profile Details

NPI number 1396794681
LBN Legal business name Buckley, Stephen Leslie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Dec 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396794681 NPPES
Florida Other P01265837 RR MEDICARE
Florida MEDICAID 258772600 RR MEDICARE
Florida MEDICAID 146316572D RR MEDICARE

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