Leslie, Jonathan B

Leslie, Jonathan B is an sole proprietor health care provider with primary practice located at 21110 Biscayne Blvd Suite 400, Aventura FL 33180-1252. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Leslie, Jonathan B can be contacted via phone (305) 932-0024.

Contact Information

Primary practice address
21110 Biscayne Blvd Suite 400 Aventura FL 33180-1252
Phone: (305) 932-0024
Fax: (305) 682-8430
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X OS3804 Florida

Profile Details

NPI number 1194782268
LBN Legal business name Leslie, Jonathan B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2006
Last updated Nov 1st, 2011 - about 14 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 1194782268 NPPES
Florida MEDICAID 066504500

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