Individual
LESLIE H SAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25 W CRYSTAL LAKE ST, SUITE 200, ORLANDO, FL 32806-4475
(407) 254-2500
(407) 423-2789
Mailing address
25 W CRYSTAL LAKE ST, SUITE 200, ORLANDO, FL 32806-4475
(407) 254-2500
(407) 423-2789
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
015234
NY
363AM0700X
Medical Physician Assistant
PA9108638
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9108638
FL
Other
Enumeration date
11/16/2011
Last updated
03/13/2019
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