Individual
LESLIE ANTHONY CRESCIMANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5601 N DIXIE HWY STE 320, OAKLAND PARK, FL 33334-4146
(954) 491-0030
(954) 771-7515
Mailing address
2160 COLONIAL BLVD, FORT MYERS, FL 33907-1410
(239) 931-7342
(239) 931-7385
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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