Leslie, Fred Lee

Leslie, Fred Lee is an sole proprietor health care provider with primary practice located at 10875 Park Blvd Suite C , Seminole FL 33772-5456. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Leslie, Fred Lee can be contacted via phone (727) 851-9910.

Contact Information

Primary practice address
10875 Park Blvd Suite C Seminole FL 33772-5456
Fax: (727) 851-9949
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS3678 Florida

Profile Details

NPI number 1245466325
LBN Legal business name Leslie, Fred Lee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2009
Last updated Sep 16th, 2020 - 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 1245466325 NPPES
Other 82082X MEDICARE PTAN

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