Rose, Leslie Diane

Rose, Leslie Diane is an individual health care provider with primary practice located at 350 7Th St N , Naples FL 34102-5754. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Rose, Leslie Diane can be contacted via phone (239) 436-5000.

Contact Information

Primary practice address
350 7Th St N Naples FL 34102-5754
Phone: (239) 436-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9104323 Florida

Profile Details

NPI number 1629266184
LBN Legal business name Rose, Leslie Diane
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2007
Last updated Aug 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629266184 NPPES
Florida MEDICAID 292910400

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