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NPI Code Detail

MEDICARE: MISS LESLIE ANN JONES LMT

MEDICARE: MISS LESLIE ANN JONES LMT
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
1171W00000XContractorMA37101FL

General Provider Information

NPI Number : 1447546254
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LESLIE ANN JONES LMT
Provider Business Mailing Address
First Line : 1478 JORDAN HILLS CT
Second Line :
City : CLEARWATER
State : FL
Zip : 33756-2368
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1478 JORDAN HILLS CT
Second Line :
City : CLEARWATER
State : FL
Zip : 33756-2368
Country : US
Telephone Number : 727-461-3896
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2011
Last Update Date : 06/21/2011

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