Leslie, Jonathan B
Leslie, Jonathan B is an sole proprietor health care provider with primary practice located at 21110 Biscayne Blvd Suite 400, Aventura FL 33180-1252. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Leslie, Jonathan B can be contacted via phone (305) 932-0024.Contact Information
Primary practice address
21110 Biscayne Blvd Suite 400
Aventura FL 33180-1252
Phone: (305) 932-0024
Fax: (305) 682-8430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | OS3804 | Florida |
Profile Details
| NPI number | 1194782268 |
|---|---|
| LBN Legal business name | Leslie, Jonathan B |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2006 |
| Last updated | Nov 1st, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194782268 | NPPES |
| Florida | MEDICAID | 066504500 |
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