Clark, Leslie Ann

Clark, Leslie Ann is an individual health care provider with primary practice located at 10000 W Colonial Dr Ste 386, Ocoee FL 34761-3400. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Clark, Leslie Ann can be contacted via phone (407) 296-1990.

Contact Information

Primary practice address
10000 W Colonial Dr Ste 386 Ocoee FL 34761-3400
Phone: (407) 296-1990
Fax: (407) 296-1992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP 9277706 Florida
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X ARNP9277706 Florida

Profile Details

NPI number 1255676839
LBN Legal business name Clark, Leslie Ann
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2012
Last updated Nov 15th, 2016 - about 8 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 1255676839 NPPES
Florida MEDICAID N/A
Florida Other ARNP9277706

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