Organization
COMPASSION PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLEY KYLE BOW MD (CEO)
(407) 456-4591
Entity
Organization
Contact information
Practice address
4445 S SEMORAN BLVD STE A, ORLANDO, FL 32822-2472
(407) 203-8957
(407) 985-1904
Mailing address
4445 S SEMORAN BLVD STE A, ORLANDO, FL 32822-2472
(407) 203-8957
(407) 985-1904
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
208000000X
Pediatrics Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008610700
—
FL
05
—
7100715220
—
KY
Enumeration date
03/07/2013
Last updated
10/24/2023
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