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Individual

K. LESLIE AVERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
DEPT OF PEDIATRIC CRITICAL CARE SHANDS, 1600 SW ARCHER RD, STE. 10-504, BOX 100296, GAINESVILLE, FL 32610-0001
(352) 265-0462
(352) 265-0443
Mailing address
DEPT OF PEDIATRIC CRITICAL CARE SHANDS, 1600 SW ARCHER RD, STE. 10-504, BOX 100296, GAINESVILLE, FL 32610-0001
(352) 265-0462
(352) 265-0443

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
11316
NV
2080P0203X
Pediatric Critical Care Medicine Physician
A67929
CA
2080P0203X
Pediatric Critical Care Medicine Physician
DR.0071896
CO
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME115725
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008799300
FL
Enumeration date
08/24/2005
Last updated
10/07/2023
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