Individual
SYDNEY EMMA LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4623 W SUNSET BLVD, TAMPA, FL 33629-6515
(813) 817-1481
Mailing address
4623 W SUNSET BLVD, TAMPA, FL 33629-6515
(813) 817-1481
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9118776
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/04/2019
Last updated
08/18/2024
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