Healthcare Provider Details

I. General information

NPI: 1134330020
Provider Name (Legal Business Name): LESLIE M. BARNES REMSKI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LESLIE M BARNES

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 01/04/2024
Certification Date: 01/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 BAPTIST WAY STE 4A
PENSACOLA FL
32503-2274
US

IV. Provider business mailing address

PO BOX 732892 SUITE 208
DALLAS TX
75373-6339
US

V. Phone/Fax

Practice location:
  • Phone: 448-227-6480
  • Fax:
Mailing address:
  • Phone: 850-469-7771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberME111282
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: