Individual
LESLIE TAVERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2479 ALOMA AVE, WINTER PARK, FL 32792-2541
(321) 207-0435
(321) 233-0222
Mailing address
1705 ADDIE AVE, ORLANDO, FL 32818-8941
(407) 883-8203
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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