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NPI Code Detail

MEDICARE: LEZLIE FLEITAS

MEDICARE: LEZLIE FLEITAS
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
1106S00000XBehavior Technician

Other Identifiers

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

General Provider Information

NPI Number : 1386270957
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEZLIE FLEITAS
Provider Business Mailing Address
First Line : 7480 HUNTERS GREENE CIR
Second Line :
City : LAKELAND
State : FL
Zip : 33810-5212
Country : US
Telephone Number : 305-321-1149
Fax Number :
Provider Business Practice Location Address
First Line : 504 E BAKER ST
Second Line :
City : PLANT CITY
State : FL
Zip : 33563-3558
Country : US
Telephone Number : 813-704-6297
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2020
Last Update Date : 01/17/2025

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Directions to “ LEZLIE FLEITAS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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