Pedreira, Leslie A

Pedreira, Leslie A is an individual health care provider with primary practice located at 1850 Sw Fountainview Blvd 105, Port St Lucie FL 34986. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Pedreira, Leslie A can be contacted via phone (772) 336-2818.

Contact Information

Primary practice address
1850 Sw Fountainview Blvd 105 Port St Lucie FL 34986
Fax: (772) 336-5313
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP2840142 Florida

Profile Details

NPI number 1134244429
LBN Legal business name Pedreira, Leslie A
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Oct 8th, 2013 - about 11 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 1134244429 NPPES
Florida MEDICAID 303582400

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