# FRED L. LESLIE, DO., P.L.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962751529
- **Authorized official:** DR. FRED LEE LESLIE D.O. (OWNER)
- **Authorized official phone:** (727) 851-9910

## Contact information

- **Practice address:** 10875 PARK BLVD, SUITE C, SEMINOLE, FL 33772-5456
- **Practice address phone:** (727) 851-9910
- **Practice address fax:** (727) 851-9949
- **Mailing address:** 10875 PARK BLVD, SUITE C, SEMINOLE, FL 33772-5456
- **Mailing address phone:** (727) 851-9910
- **Mailing address fax:** (727) 851-9949

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS3678 | FL | Yes |

## Other

- **Enumeration date:** 08/29/2012
- **Last updated:** 10/04/2012