Individual
ALLISON ANN LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1309 N FLAGLER DR, WEST PALM BEACH, FL 33401-3406
(561) 366-4100
(561) 366-4189
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9118670
FL
363AM0700X
Medical Physician Assistant
PA9118670
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123125800
—
FL
Enumeration date
06/24/2024
Last updated
04/24/2025
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