Powell, Leslie T

Powell, Leslie T is an individual health care provider with primary practice located at 2780 Cleveland Ave , Fort Myers FL 33901-5858. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Powell, Leslie T can be contacted via phone (239) 343-3727.

Contact Information

Primary practice address
2780 Cleveland Ave Fort Myers FL 33901-5858
Phone: (239) 343-3727
Fax: (239) 343-2086
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110001777 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9116235 Florida

Profile Details

NPI number 1053458976
LBN Legal business name Powell, Leslie T
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Feb 7th, 2024 - about 10 months 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 1053458976 NPPES
Virginia MEDICAID 1053458976
Virginia MEDICAID 120707600

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