Individual
LESLEE E BAUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4002 SUN CITY CENTER BLVD, UNIT 102, SUN CITY CENTER, FL 33573-5208
(813) 634-1455
(813) 642-8355
Mailing address
4002 SUN CITY CENTER BLVD, UNIT 102, SUN CITY CENTER, FL 33573-5208
(813) 634-1455
(813) 642-8355
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
PA9104766
FL
363AS0400X
Surgical Physician Assistant
PAT9104766
FL
Other
Enumeration date
09/19/2008
Last updated
08/04/2010
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