Individual
LESLIE Z ROHAIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 SE 6TH ST APT 3101, MIAMI, FL 33131-2570
(305) 781-9797
Mailing address
55 SE 6TH ST APT 3101, MIAMI, FL 33131-2570
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
9112088
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9112088
AESTHETICS
FL
01
—
PA9112088
AESTHETICS
—
Enumeration date
06/24/2019
Last updated
06/24/2019
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