MEDICARE: MRS. LESLIE WORTH H.A.S.

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
1	237700000X	Hearing Instrument Specialist	AS5428	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1932660396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LESLIE WORTH H.A.S.

Provider Business Mailing Address
First Line	:	1879 VETERANS PARK DR STE 1201
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34109-0500
Country	:	US
Telephone Number	:	239-592-7212
Fax Number	:

Provider Business Practice Location Address
First Line	:	1879 VETERANS PARK DR STE 1201
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34109-0500
Country	:	US
Telephone Number	:	239-592-7212
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2019
Last Update Date	:	01/27/2025

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