JONATHAN B. LESLIE, D.O.,P.A. (NPI# 1821055948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821055948 |
Entity Type | Organization |
Organization Name | JONATHAN B. LESLIE, D.O.,P.A. |
Other Organization Name | JONATHAN B. LESLIE, D.O,P.A. |
Practice Address |
21110 Biscayne Blvd Suite 400 Aventura FL 33180-1252 |
Practice Telephone | 3059320024 |
Practice Fax Number | 3056828430 |
Mailing Telephone | 3059320024 |
Mailing Fax Number | 3056828430 |
Enumeration Date | 2006-05-01 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. JONATHAN B LESLIE (PRESIDENT) |
Authorized Official Telephone | 3059320024 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
OS3804 | FL | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
JONATHAN B. LESLIE, D.O,P.A. | Doing Business As Name - Organization |
Street Address |
21110 BISCAYNE BLVD SUITE 400 |
City | AVENTURA |
State | FL |
Zip Code | 33180-1252 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730184045 | Lawrence T. Reese | Ophthalmology | 21110 Biscayne Blvd, Ste 403, Aventura, FL 33180-1252 | 2005-06-15 |
1578098653 | Karen Firesteone | Social Worker | 21110 Biscayne Blvd, Suite 304, Aventura, FL 33180-1229 | 2017-04-26 |
1043758212 | Brittany Grabois Schuman | Psychologist | 21110 Biscayne Blvd, Suite 304, Aventura, FL 33180-1227 | 2017-02-07 |
1033657200 | Bgs Psychological Services LLC | Psychologist | 21110 Biscayne Blvd, Suite 304, Aventura, FL 33180-1227 | 2017-02-07 |
1750739827 | Sara Hellman | Physician Assistant | 21110 Biscayne Blvd, Suite 405, Aventura, FL 33180-1227 | 2016-05-31 |
1083076558 | Rohit Gaikwad | Physical Therapist | 21110 Biscayne Blvd, 205, Aventura, FL 33180-1227 | 2016-03-24 |
1205297389 | Medical Consultants of Florida LLC | Non-Pharmacy Dispensing Site | 21110 Biscayne Blvd, 203, Aventura, FL 33180-1227 | 2016-03-16 |
1518328731 | Liza Isabel Lizarraga | Obstetrics & Gynecology | 21110 Biscayne Blvd, Suite 312, Aventura, FL 33180-1227 | 2016-03-15 |
1598135634 | Rufat Dasayev | Nurse Practitioner | 21110 Biscayne Blvd, Suite 303, Aventura, FL 33180-1227 | 2015-10-01 |
1427426113 | Genesiscare Usa of Florida LLC | Urology | 21110 Biscayne Blvd, Suite 401, Aventura, FL 33180-1227 | 2015-09-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720607849 | Nabeel Rahman Khan | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Boulevard, Avetura, Fl, Aventura, FL 33180 | 2020-04-09 |
1235766841 | Hanny Hausmann | Counselor | 2999 Ne 191 Street, Suite 902, Aventura, FL 33180 | 2020-03-24 |
1760976369 | Michael Ernest Molino | Optometrist | 19575 Biscayne Blvd Ste 579, Aventura, FL 33180 | 2018-06-18 |
1932602620 | Carmen Somarriba | Physician Assistant | 21110 Biscayne Blvd Bldg Suite400, Aventura, FL 33180 | 2018-03-09 |
1235631474 | Premier Florida Podiatry, Pa | Podiatrist | 3060 Ne 190th St Apt 202, Aventura, FL 33180 | 2018-03-04 |
1891229126 | Ifrah Zahid Butt | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd., Aventura, FL 33180 | 2017-04-13 |
1629500129 | Hector Hugo Gonzalez | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, South Tower, #807, Aventura Hospital and Medical Center, Aventura, FL 33180 | 2017-04-03 |
1457892671 | Nusen Beer | Internal Medicine | 20200 W Dixie Hwy Ste 701, Aventura, FL 33180 | 2017-03-20 |
1073052338 | Alfa Diagnostic LLC | Point of Service | 21355 E Dixie Hwy Ste 101, Aventura, FL 33180 | 2017-02-20 |
1598211740 | Katherine Mendez-martinez | Nurse Practitioner | 2925 Aventura Blvd. Suite 101, Aventura, FL 33180 | 2016-08-28 |
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Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093709669 | Robert A Hirsch | Internal Medicine | 20801 Biscayne Blvd Ste 200, Aventura, FL 33180-1422 | 2005-09-09 |
1215323373 | Felipe Gustavo Gercovich | Internal Medicine | 2875 Ne 191st St, Suite 801, Aventura, FL 33180-2801 | 2015-04-15 |
1336438001 | Bojana Bjekic-bhardwaj Md Pa | Internal Medicine | 21355 E Dixie Hwy, Ste 102, Aventura, FL 33180-1238 | 2011-04-04 |
1528203114 | Aventura Healthcare Specialists, LLC | Internal Medicine | 20950 Ne 27th Ct, Suite 300, Aventura, FL 33180-1232 | 2008-12-10 |
1679790380 | Marvin Diaz-lacayo Md Pa | Internal Medicine | 21150 Biscayne Blvd, Ste 101, Aventura, FL 33180-1226 | 2007-04-20 |
1194782268 | Jonathan B Leslie | Internal Medicine | 21110 Biscayne Blvd, Suite 400, Aventura, FL 33180-1252 | 2006-05-01 |
1750378709 | Enrique Davila | Internal Medicine | 21150 Biscayne Blvd, Suite 206, Aventura, FL 33180-1226 | 2005-10-04 |
1306831722 | South Florida Oncology Hematology | Internal Medicine | 20950 Ne 27th Ct, Suite 203, Aventura, FL 33180-1232 | 2005-09-12 |
1891789467 | Michael H Greenhawt | Internal Medicine | 20950 Ne 27th Ct, Ste 203, Aventura, FL 33180-1232 | 2005-09-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194343210 | Jayaben Patel | Internal Medicine | 11818 Shire Wycliffe Ct, Tampa, FL 33626-3329 | 2020-07-07 |
1922628833 | Heme Onc Call, LLC | Internal Medicine | 5825 Sw 117th St, Pinecrest, FL 33156-5007 | 2020-04-21 |
1457851552 | Yvette M Herrington | Internal Medicine | 425 S Parsons Ave Ste 101, Brandon, FL 33511-5290 | 2018-02-15 |
1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
1225424369 | Florence Arnold | Internal Medicine | 3830 Bee Ridge Rd Ste 301, Sarasota, FL 34233 | 2015-04-15 |
1073901187 | Edward Mcaloon | Internal Medicine | 108 Homeport Dr, Palm Harbor, FL 34683-5409 | 2014-12-26 |
1063818235 | Barry M. Krein | Internal Medicine | 4220 Careywood Dr, Melbourne, FL 32934-7679 | 2014-11-14 |
1912311630 | David Longacre | Internal Medicine | 2439 Weymouth Dr, Clearwater, FL 33764-6556 | 2014-06-20 |
1508270778 | Gerard Chaaya | Internal Medicine | 4306 Alton Rd Fl 3, Miami Beach, FL 33140-2840 | 2014-06-16 |
1982026670 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 2100 W 1st St, Sanford, FL 32771-1603 | 2014-01-14 |
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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.