Individual
DR. LESLIE F CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-4243
(727) 767-8612
Mailing address
501 6TH AVE S, BOX 6941, ST PETERSBURG, FL 33701-4634
(727) 767-4429
(727) 767-4970
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD041783L
PA
208000000X
Pediatrics Physician
Primary
ME98106
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000113100
—
FL
05
—
001210693
—
PA
01
—
323324
AVMED
—
01
—
4254661
AETNA
—
01
—
471557
STAYWELL/HEALTHEASE
—
01
—
91022
BC/BS
FL
01
—
9217007
CIGNA
—
Enumeration date
09/27/2005
Last updated
10/19/2010
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