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NPI Code Detail

MEDICARE: LESLIE SEIDEN MD LLC

MEDICARE: LESLIE SEIDEN MD LLC
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
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1568006971
Entity Type Code : Organization
Provider Name (Legal Business Name) : LESLIE SEIDEN MD LLC
Provider Business Mailing Address
First Line : 10682 NORTHGREEN DR
Second Line :
City : WELLINGTON
State : FL
Zip : 33449-8047
Country : US
Telephone Number : 561-340-1437
Fax Number :
Provider Business Practice Location Address
First Line : 7138 LAKE WORTH RD STE D
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467-2970
Country : US
Telephone Number : 561-800-9489
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LESLIE SEIDEN
Credential : MD
Telephone Number : 561-340-1437
Provider Enumeration Date : 10/30/2019
Last Update Date : 03/05/2020

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Directions to “LESLIE SEIDEN MD LLC ” Practice Location

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