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
Phone: (772) 336-2818
Fax: (772) 336-5313
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134244429 | NPPES |
Florida | MEDICAID | 303582400 |
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