Deane, Leslie Allan

Deane, Leslie Allan is an individual health care provider with primary practice located at 1150 Nw 14Th St , Miami FL 33136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Deane, Leslie Allan can be contacted via phone (305) 243-6090.

Contact Information

Primary practice address
1150 Nw 14Th St Miami FL 33136
Phone: (305) 243-6090
Fax: (305) 243-6597
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 036119176 Illinois
Allopathic & Osteopathic Physicians / Urology 208800000X ME136154 Florida
Allopathic & Osteopathic Physicians / Urology 208800000X A92635 California

Profile Details

NPI number 1700987153
LBN Legal business name Deane, Leslie Allan
Credentials MB.BS, FRCSC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jun 4th, 2018 - about 6 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 1700987153 NPPES
California MEDICAID 00A926350
California Other 00A926350

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