Individual
MRS. LESLIE LAUREN MACKEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 E ROLLINS AVE, ORLANDO, FL 32803-1248
(407) 303-6611
Mailing address
PO BOX 950927, LAKE MARY, FL 32795-0927
(407) 328-0825
(407) 322-5478
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA2988
FL
Other
Enumeration date
05/15/2006
Last updated
07/08/2007
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