Kidd, Leslie M

Kidd, Leslie M is an individual health care provider with primary practice located at 139 S Pebble Beach Blvd Ste 100 , Sun City Center FL 33573-4711. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kidd, Leslie M can be contacted via phone (813) 819-0300.

Contact Information

Primary practice address
139 S Pebble Beach Blvd Ste 100 Sun City Center FL 33573-4711
Phone: (813) 819-0300
Fax: (844) 388-6186
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME96460 Florida

Profile Details

NPI number 1033127840
LBN Legal business name Kidd, Leslie M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Oct 7th, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033127840 NPPES
Florida MEDICAID 276524100
Florida Other P00443861

Popular Providers