Individual
LESLIE D. SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HAS
Contact information
Practice address
166 A1A N STE 100, PONTE VEDRA BEACH, FL 32082-5701
(904) 273-2232
(904) 273-2219
Mailing address
750 N COMMONS DR STE 200, AURORA, IL 60504-7940
(630) 303-5380
(630) 303-5385
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS4999
FL
Other
Enumeration date
10/01/2014
Last updated
07/07/2021
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