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Individual

DR. LESLIE A HUSZAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3725 10TH CT, VERO BEACH, FL 32960-6559
(772) 299-8422
(772) 365-0861
Mailing address
7390 45TH ST, VERO BEACH, FL 32967-7708
(772) 299-8422
(772) 365-0861

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME0057023
FL
2084N0600X
Clinical Neurophysiology Physician
ME0057023
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110011008
RAILROAD MEDICARE
FL
01
27901
BC BS OF FLORIDA
FL
01
399371
EMPIRE BCBS OF NY
NY
01
993193
BLUE SHIELD OF PA
PA
Enumeration date
06/16/2005
Last updated
04/12/2021
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