Individual
LESLIE MARIE PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3360 BURNS RD, PALM BEACH GARDENS, FL 33410
(561) 514-6615
(561) 625-5093
Mailing address
3360 BURNS RD, PALM BEACH GARDENS, FL 33410-4323
(561) 514-6615
(561) 625-5093
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
010926
NY
363AS0400X
Surgical Physician Assistant
Primary
PA9103630
FL
Other
Enumeration date
03/27/2007
Last updated
01/22/2020
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