Healthcare Provider Details

I. General information

NPI: 1699952952
Provider Name (Legal Business Name): LESLIE MARIE TURNER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LESLIE MARIE PASSMORE M.D.

II. Dates (important events)

Enumeration Date: 01/29/2008
Last Update Date: 08/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13000 BRUCE B DOWNS BLVD
TAMPA FL
33612-4745
US

IV. Provider business mailing address

120 HURON AVE
TAMPA FL
33606-3620
US

V. Phone/Fax

Practice location:
  • Phone: 813-972-2000
  • Fax:
Mailing address:
  • Phone: 813-766-6409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberTRN10022
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License NumberME103850
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: