Individual
DR. JAZMIN LARISA LESNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-7490
(941) 917-1308
Mailing address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-4429
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
27347
NE
208000000X
Pediatrics Physician
Primary
ME136281
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
05/04/2011
Last updated
05/11/2018
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