1821055948 NPI number — JONATHAN B. LESLIE, D.O.,P.A.

Table of content: (NPI 1821055948)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821055948 NPI number — JONATHAN B. LESLIE, D.O.,P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JONATHAN B. LESLIE, D.O.,P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
JONATHAN B. LESLIE, D.O,P.A.
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821055948
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
21110 BISCAYNE BLVD
Provider Second Line Business Mailing Address:
SUITE 400
Provider Business Mailing Address City Name:
AVENTURA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33180-1252
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-932-0024
Provider Business Mailing Address Fax Number:
305-682-8430

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
21110 BISCAYNE BLVD
Provider Second Line Business Practice Location Address:
SUITE 400
Provider Business Practice Location Address City Name:
AVENTURA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33180-1252
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-932-0024
Provider Business Practice Location Address Fax Number:
305-682-8430
Provider Enumeration Date:
05/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LESLIE
Authorized Official First Name:
JONATHAN
Authorized Official Middle Name:
B
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
305-932-0024

Provider Taxonomy Codes

  • Taxonomy code: 207RH0003X , with the licence number:  OS3804 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 011585700 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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