LESLIE RAFFETY PENCE (NPI# 1609332337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609332337 |
| Entity Type | Individual |
| Full Name | LESLIE RAFFETY PENCE |
| Practice Address |
313 S Lakewood Dr Brandon FL 33511-2815 |
| Mailing Address |
4455 Chenault Rd Cleveland NC 27013-8877 |
| Practice Telephone | 8136536100 |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2019-02-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
313 S LAKEWOOD DR |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-2815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265548200 | Luz M Torres | Pediatrics | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2006-08-22 |
| 1417556275 | Suncoast Community Health Center Inc | Clinic/Center | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2020-10-22 |
| 1518587518 | Stephen Kyle Hartzog | Student in an Organized Health Care Education/Training Program | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2020-04-20 |
| 1033745344 | Katie Hye Eun Park | Student in an Organized Health Care Education/Training Program | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2020-03-18 |
| 1083248926 | Kristeen Chu | Student in an Organized Health Care Education/Training Program | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2020-03-01 |
| 1699309856 | Marc Levicoff | Student in an Organized Health Care Education/Training Program | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2020-02-26 |
| 1457984668 | Katherine Elizabeth Gouveia | Student in an Organized Health Care Education/Training Program | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2020-02-16 |
| 1730710294 | Christopher J Perez | Pharmacist | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2020-02-03 |
| 1598227035 | Cristina Carmen Alvarez Armbruster Jacas | Student in an Organized Health Care Education/Training Program | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2019-04-03 |
| 1851853659 | Nila V Patel | Pharmacist | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2019-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817838 | Ebony Symone' Woodson | Student in an Organized Health Care Education/Training Program | 288 Mount Helm Rd, Brandon, MS 39047-8462 | 2020-09-25 |
| 1417561614 | Shelly Ann Bilbro | Student in an Organized Health Care Education/Training Program | 836 Rushton Cir, Brandon, MS 39047-8170 | 2020-09-04 |
| 1295354785 | Ashley Karol Brown | Student in an Organized Health Care Education/Training Program | 201 Bellewood Dr, Brandon, MS 39042-3268 | 2020-04-14 |
| 1114555190 | Kevin Ceballos | Student in an Organized Health Care Education/Training Program | 119 Oakfield Dr Fl 33511, Brandon, FL 33511-5779 | 2020-03-27 |
| 1912539909 | Carolyna Danielle Perez | Student in an Organized Health Care Education/Training Program | 2612 Bermuda Lake Dr Apt 204a, Brandon, FL 33510-2290 | 2020-02-07 |
| 1568020964 | Purab Patel | Student in an Organized Health Care Education/Training Program | 2636 Bermuda Lake Dr Apt 203a, Brandon, FL 33510-2398 | 2019-05-31 |
| 1891292447 | Seth Lewis Maxwell | Student in an Organized Health Care Education/Training Program | 119 Oakfield Dr Fl 3, Brandon, FL 33511-5779 | 2018-04-10 |
| 1548790231 | Kenneth G Rosario Jr. | Student in an Organized Health Care Education/Training Program | 119 Oakfield Drive Brandon Florida 33511, Brandon, FL 33511 | 2017-06-14 |
| 1881047942 | Michael Udall Reid | Student in an Organized Health Care Education/Training Program | 500 Avalon Way Apt 309, Brandon, MS 39047-7546 | 2016-07-13 |
| 1578917563 | Alicia Sanchezcummings | Student in an Organized Health Care Education/Training Program | 231 Mason St, Brandon, FL 33511-5211 | 2016-04-16 |
| Find all providers in BRANDON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.