Carroll, Leslie F

Carroll, Leslie F is an individual health care provider with primary practice located at 501 6Th Ave S , St Petersburg FL 33701-4634. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Carroll, Leslie F can be contacted via phone (727) 767-4243.

Contact Information

Primary practice address
501 6Th Ave S St Petersburg FL 33701-4634
Phone: (727) 767-4243
Fax: (727) 767-8612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD041783L Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME98106 Florida

Profile Details

NPI number 1700872462
LBN Legal business name Carroll, Leslie F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Oct 19th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700872462 NPPES
Other 471557 STAYWELL/HEALTHEASE
MEDICAID 000113100 STAYWELL/HEALTHEASE
Other 91022 STAYWELL/HEALTHEASE
MEDICAID 001210693 STAYWELL/HEALTHEASE
Other 323324 STAYWELL/HEALTHEASE
Other 9217007 STAYWELL/HEALTHEASE
Other 4254661 STAYWELL/HEALTHEASE

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