Individual
LESLEY BROOKE DORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2080 CHILD ST DEPT 5000, JACKSONVILLE, FL 32214-5000
(604) 542-9747
Mailing address
2080 CHILD ST DEPT 5000, JACKSONVILLE, FL 32214-5000
(904) 542-9747
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
AMD818
HI
363AS0400X
Surgical Physician Assistant
Primary
0110007174
VA
Other
Enumeration date
01/24/2012
Last updated
09/11/2025
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