| Fred L. Leslie, Do., P.l. | |
|
10875 Park Blvd Suite C Seminole FL 33772-5456 | |
| (727) 851-9910 | |
| (727) 851-9949 |
| Full Name | Fred L. Leslie, Do., P.l. |
|---|---|
| Speciality | Family Medicine |
| Location | 10875 Park Blvd, Seminole, Florida |
| Authorized Official Name and Position | Fred Lee Leslie (OWNER) |
| Authorized Official Contact | 7278519910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred L. Leslie, Do., P.l. 10875 Park Blvd Suite C Seminole FL 33772-5456 Ph: (727) 851-9910 | Fred L. Leslie, Do., P.l. 10875 Park Blvd Suite C Seminole FL 33772-5456 Ph: (727) 851-9910 |
| NPI Number | 1962751529 |
|---|---|
| Provider Enumeration Date | 08/29/2012 |
| Last Update Date | 10/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962751529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS3678 (Florida) | Primary |
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