MEDICARE: LESLEY ALLEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	ARNP9260186	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770038226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLEY ALLEN

Provider Business Mailing Address
First Line	:	1580 SANTA BARBARA BLVD
Second Line	:
City	:	THE VILLAGES
State	:	FL
Zip	:	32159-6827
Country	:	US
Telephone Number	:	352-259-2159
Fax Number	:	352-259-5731

Provider Business Practice Location Address
First Line	:	701 S ORANGE BLOSSOM TRL
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32703-6557
Country	:	US
Telephone Number	:	407-703-9990
Fax Number	:	407-703-9991

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2016
Last Update Date	:	10/28/2024

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1841208642 — MRS. JULAINE B HARDING APRN
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1386845139 — DAVID SOLIS LICENSED OPTICIAN
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1649472408 — BRIAN THOMAS PINCKNEY LICENSED OPTICIAN
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721 S ORANGE BLOSSOM TRL
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1922252097 — COLIN LOREN WATTS M.D.
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1851249965 — DANIELLE MIKAELA DALEY-WATSON APRN
Practice Location Address:

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Practice Fax:

Directions to “ LESLEY ALLEN ” Practice Location

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