| Suzann Leslie DO PA | |
|
506 Southwest Federal Highway Suite 101 Stuart FL 34995 | |
| (772) 288-6300 | |
| (772) 288-6374 |
| Full Name | Suzann Leslie DO PA |
|---|---|
| Speciality | Family Medicine |
| Location | 506 Southwest Federal Highway, Stuart, Florida |
| Authorized Official Name and Position | Suzann M Leslie (OWNER) |
| Authorized Official Contact | 7722886300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suzann Leslie DO PA 2336 Se Ocean Blvd Suite 182 Stuart FL 34996 Ph: (772) 288-6300 | Suzann Leslie DO PA 506 Southwest Federal Highway Suite 101 Stuart FL 34995 Ph: (772) 288-6300 |
| NPI Number | 1891982138 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 05/15/2025 |
| Certification Date | 05/13/2025 |
| Medicare PECOS PAC ID | 5698789774 |
|---|---|
| Medicare Enrollment ID | O20060127000241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891982138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS7063 (Florida) | Primary |
| Provider Name | Suzann M Leslie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578540829 PECOS PAC ID: 7719960541 Enrollment ID: I20040611000279 |
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