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Individual

DR. LESLYE CAROL PENNYPACKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
(352) 374-6168
Mailing address
2006 NW 27TH ST, GAINESVILLE, FL 32605-3865
(352) 373-9786

Taxonomy

Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
ME83516
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102108600
FL
Enumeration date
08/17/2006
Last updated
08/05/2024
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