Individual
DR. LESLEY JACQUELINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1601 NW 12TH AVE, MAILMAN CENTER 3005A, DIV PEDS GI & NUTRITON, MIAMI, FL 33136-1005
(305) 243-6426
Mailing address
1601 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 243-3166
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
002327
NY
2080T0004X
Pediatric Transplant Hepatology Physician
Primary
ME98235
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02635203
—
NY
Enumeration date
02/02/2006
Last updated
01/30/2013
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