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NPI Code Detail

MEDICARE: LESLI HAMILTON

MEDICARE: LESLI HAMILTON
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
1363LF0000XFamily Nurse PractitionerAPRN1893502FL

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 : 1972596203
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLI HAMILTON
Provider Business Mailing Address
First Line : PO BOX 1137
Second Line :
City : MELBOURNE
State : FL
Zip : 32902-1137
Country : US
Telephone Number : 321-952-9696
Fax Number : 321-952-7937
Provider Business Practice Location Address
First Line : 2120 SARNO RD
Second Line :
City : MELBOURNE
State : FL
Zip : 32935-3084
Country : US
Telephone Number : 321-241-6800
Fax Number : 321-241-6890
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 04/01/2024

Similar Medicare Providers

1306479399 — JESSICA MATOS PMHNP
Practice Location Address:
2120 SARNO RD
MELBOURNE, FL
32935-3084
Practice Phone: 321-241-6800
Practice Fax: 321-241-6890
1720391857 — DHARSHINI YOGENDRA
Practice Location Address:
2120 SARNO RD
MELBOURNE, FL
32935-3084
Practice Phone: 321-241-6800
Practice Fax: 321-241-6890
1912137928 — DR. JUAN CARLOS MARCOS D.M.D.
Practice Location Address:
2120 SARNO RD
MELBOURNE, FL
32935-3084
Practice Phone: 321-241-6800
Practice Fax: 321-241-6890
1558795823 — KELLY KRAUSE APRN
Practice Location Address:
2120 SARNO RD
MELBOURNE, FL
32935-3084
Practice Phone: 321-241-6800
Practice Fax: 321-241-6890
1952303059 — DR. GREGORY EARL CHESHIRE D.M.D.
Practice Location Address:
2120 SARNO RD
MELBOURNE, FL
32935-3084
Practice Phone: 321-241-6800
Practice Fax: 321-241-6888
1427034529 — DR. DANNY RADER MD
Practice Location Address:
2120 SARNO RD
MELBOURNE, FL
32935-3084
Practice Phone: 321-241-6800
Practice Fax: 321-241-6890

Directions to “ LESLI HAMILTON ” Practice Location

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