FRED L. LESLIE, DO., P.L. (NPI# 1962751529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962751529 |
| Entity Type | Organization |
| Organization Name | FRED L. LESLIE, DO., P.L. |
| Practice Address |
10875 Park Blvd Suite C Seminole FL 33772-5456 |
| Practice Telephone | 7278519910 |
| Practice Fax Number | 7278519949 |
| Mailing Telephone | 7278519910 |
| Mailing Fax Number | 7278519949 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-10-04 |
| Authorized Official Name | DR. FRED LEE LESLIE (OWNER) |
| Authorized Official Telephone | 7278519910 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS3678 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
10875 PARK BLVD SUITE C |
| City | SEMINOLE |
| State | FL |
| Zip Code | 33772-5456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780672832 | Christopher A Patestos | Legal Medicine | 10875 Park Blvd, Seminole, FL 33772-5456 | 2005-10-12 |
| 1053855718 | The Hearing Institute of Tampa Bay | Clinic/Center | 10875 Park Blvd, Seminole, FL 33772-5456 | 2016-12-14 |
| 1578007357 | Michaela Moravcova | Hearing Instrument Specialist | 10875 Park Blvd, Seminole, FL 33772-5456 | 2016-12-13 |
| 1720031941 | Brian Keith Hameroff | Podiatrist | 10875 Park Blvd, Ste. C, Seminole, FL 33772 | 2006-05-18 |
| 1073566154 | West Central Podiatry Consultants, P.l. | Podiatrist | 10875 Park Blvd, Ste. C, Seminole, FL 33772 | 2006-05-18 |
| 1225097074 | Gary G Holland | General Practice | 10875 Park Blvd, Ste A, Seminole, FL 33772-5456 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245765205 | Capstone Eye Care Group of Florida LLC | Eyewear Supplier (Equipment, not the service) | 7855 113th St Bldg P-2, Suite A, Seminole, FL 33772 | 2017-04-27 |
| 1922453067 | Donna Malkovich | Nurse Practitioner | 11925 Mandarin Ct, Seminole, FL 33772 | 2016-04-26 |
| 1518259209 | Dorca N. May | Nurse's Aide | 11428 - 63 Ave N, Seminole, FL 33772 | 2011-05-12 |
| 1467753681 | Anthony J. Auletta, Jr. D.m.d., Pa | Dentist | 8277 113th Street N, Seminole, FL 33772 | 2010-11-04 |
| 1346559481 | Tiffany Jane Marie Bishop | Physical Therapist | 11224 Park Blvd., N, Cora Rehabilitation, Seminole, FL 33772 | 2010-10-06 |
| 1235442997 | Cynthia Renee Bouchard | Student in an Organized Health Care Education/Training Program | 9200 113th St. N., Seminole, FL 33772 | 2010-07-22 |
| 1851603591 | William Daily | Dentist | 9200 113th St N, Seminole, FL 33772 | 2010-07-10 |
| 1427370295 | Teresa Ann Skinner | Counselor | 7130 Seminole Blvd., Seminole Professional Centre, Seminole, FL 33772 | 2010-02-22 |
| 1922257120 | Jennifer Henkel Johnson | Dentist | 9951 Seminole Blvd, Seminole, FL 33772 | 2008-09-11 |
| 1528233970 | Joann Carol Horianopoulos | Physical Therapy Assistant | 7388 121st Way North, Seminole, FL 33772 | 2008-04-28 |
| Find all providers in zip 33772 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417435041 | Epb Medical Pllc | Family Medicine | 8150 Oak Forest Blvd W, Seminole, FL 33776-3426 | 2018-08-06 |
| 1952846024 | Timothy Gloyd LLC | Family Medicine | 2302 Sw Avenue F, Seminole, TX 79360-3852 | 2016-12-28 |
| 1720435019 | Catherine Marie Hays | Family Medicine | 7101 Park St, Seminole, FL 33777-4632 | 2016-05-17 |
| 1427445881 | Roselynn Dean | Family Medicine | 2403 W Wrangler Blvd Ste C, Seminole, OK 74868-1900 | 2015-04-22 |
| 1669705083 | Andrew Hayslett | Family Medicine | 11125 Park Blvd # 104-133, Seminole, FL 33772-4757 | 2009-09-16 |
| 1245466325 | Fred Lee Leslie | Family Medicine | 10875 Park Blvd Suite C, Seminole, FL 33772-5456 | 2009-06-03 |
| 1497932206 | Zoe Salgado | Family Medicine | 7800 Liberty Ln, Seminole, FL 33772-4743 | 2008-01-23 |
| 1336202472 | Gary G Holland Md Pa | Family Medicine | 10875 Park Blvd Ste A, Seminole, FL 33772-5456 | 2006-12-19 |
| 1801908868 | Whelan W Culley IIi | Family Medicine | 8211 113th St, Seminole, FL 33772-4128 | 2006-08-31 |
| 1093722985 | Bridget Ann Bellingar | Family Medicine | 7101 Park St. N., Seminole, FL 33777 | 2006-08-02 |
| Find all providers in SEMINOLE | ||||
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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.