Individual
LARRY MILFORD LESLIE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
399 9TH ST N STE 300, NAPLES, FL 34102-5820
(239) 624-4200
(239) 624-4201
Mailing address
399 9TH ST N STE 300, NAPLES, FL 34102-5820
(239) 624-4200
(239) 624-4201
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01062082A
IN
207RC0000X
Cardiovascular Disease Physician
34948
KY
207RI0011X
Interventional Cardiology Physician
01062082A
IN
207RI0011X
Interventional Cardiology Physician
34948
KY
207RI0011X
Interventional Cardiology Physician
Primary
ME125405
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016303900
—
FL
01
—
IL736Z
MEDICARE
FL
01
—
P01626269
RAILROAD MEDICARE
FL
01
—
ZU6F4
BCBS
FL
Enumeration date
06/02/2006
Last updated
03/24/2022
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