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Individual

LESLIE ANTHONY CRESCIMANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0031471
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002121500
FL
05
048845300
FL
01
10347
MEDICA HEALTH
FL
01
1192990
WELLCARE
FL
01
200963
AVMED PROVIDER ID #
FL
01
4122333
AETNA ID #
FL
01
93617
BCBS FL
FL
01
P0003146
FLORIDA HEALTHCARE PLUS
FL
01
P00471484
RAILROAD MEDICARE
FL
Enumeration date
11/22/2006
Last updated
11/05/2018
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