Roberts, Leslie
Roberts, Leslie is an sole proprietor health care provider with primary practice located at 5664 Sw 60Th Avenue , Ocala FL 34474-5677. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Roberts, Leslie can be contacted via phone (352) 291-5456.Contact Information
Primary practice address
5664 Sw 60Th Avenue
Ocala FL 34474-5677
Phone: (352) 291-5456
Fax: (352) 291-5582
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CERT #2027 | Florida |
Profile Details
| NPI number | 1104060417 |
|---|---|
| LBN Legal business name | Roberts, Leslie |
| Credentials | C.A.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 30th, 2009 |
| Last updated | Apr 30th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104060417 | NPPES |
| Florida | Other | CERT #2027 | C.A.P. |
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