Gavin-Devitt, Leslie A.

Gavin-Devitt, Leslie A. is an individual health care provider with primary practice located at 1717 S Orange Ave Suite 100, Orlando FL 32806-2944. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Gavin-Devitt, Leslie A. can be contacted via phone (407) 650-7000.

Contact Information

Primary practice address
1717 S Orange Ave Suite 100 Orlando FL 32806-2944
Phone: (407) 650-7000
Fax: (407) 650-7124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY5787 Florida

Profile Details

NPI number 1992814750
LBN Legal business name Gavin-Devitt, Leslie A.
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated May 16th, 2008 - about 17 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 1992814750 NPPES
Florida MEDICAID 768880600

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