| Dr Leslie M Kidd, MD | |
|
139 S Pebble Beach Blvd Ste 100, Sun City Center, FL 33573-4711 | |
| (813) 819-0300 | |
| (844) 388-6186 |
| Full Name | Dr Leslie M Kidd |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 24 Years |
| Location | 139 S Pebble Beach Blvd Ste 100, Sun City Center, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033127840 | NPI | - | NPPES |
| 276524100 | Medicaid | FL | |
| P00443861 | Other | FL | RAILROAD MEDICARE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME96460 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Medical Associates Llc | 0648271155 | 150 |
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Entity Name | Florida Medical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336153709 PECOS PAC ID: 0648271155 Enrollment ID: O20070126000169 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Leslie M Kidd, MD 2810 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6306 Ph: (813) 877-8450 | Dr Leslie M Kidd, MD 139 S Pebble Beach Blvd Ste 100, Sun City Center, FL 33573-4711 Ph: (813) 819-0300 |
Dr. Cecil B Sue-wah-sing, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Haverford Ave Ste 101, Sun City Center, FL 33573 Phone: 813-634-9284 Fax: 813-634-4595 | |
Jonathan Dychko, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 819 Cypress Village Blvd, Sun City Center, FL 33573 Phone: 813-922-2660 Fax: 833-784-1539 | |
Donald A Behnke, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1901 Haverford Ave, Suite 101, Sun City Center, FL 33573 Phone: 813-634-9284 Fax: 813-634-4595 | |
Dr. Naumaan Javed Hafeez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3909 Galen Ct, Sun City Center, FL 33573 Phone: 813-634-5502 | |
Dr. Jordan Van Jackson, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4016 Sun City Center Blvd, Sun City Center, FL 33573 Phone: 813-634-3301 | |
Michelle Andrea Gonzalez, Internal Medicine Medicare: Medicare Enrolled Practice Location: 108 S Pebble Beach Blvd, Sun City Center, FL 33573 Phone: 813-633-6550 Fax: 813-633-6551 |