Individual
DANA LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3325 W BEARSS AVE, TAMPA, FL 33618-2100
(352) 332-8588
(352) 332-8589
Mailing address
PO BOX 357370, GAINESVILLE, FL 32635-7370
(813) 300-6851
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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