Smith, Leslie L.

Smith, Leslie L. is an individual health care provider with primary practice located at 2400 State Road 415 , Sanford FL 32771-6012. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Smith, Leslie L. can be contacted via phone (407) 322-8645.

Contact Information

Primary practice address
2400 State Road 415 Sanford FL 32771-6012
Phone: (407) 322-8645
Fax: (407) 324-7311
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS0007694 Florida

Profile Details

NPI number 1831193697
LBN Legal business name Smith, Leslie L.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Sep 5th, 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 1831193697 NPPES
Florida Other 47084 BC/BS
Florida Other 172745 BC/BS
Florida MEDICAID 257196000 BC/BS
Florida Other 01114593 BC/BS

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