Individual
LESLIE F NAOOM
Active
Individual
LESLIE F NAOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9105664
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0028840-00
—
FL
01
—
Y05T8
BCBS
FL
Enumeration date
10/26/2010
Last updated
09/18/2023
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