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Individual

LESLIE K ROSEGGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
160 E LAKE HOWARD DR, WINTER HAVEN, FL 33881-3155
(863) 299-1251
(863) 299-7666
Mailing address
15280 NW 79TH CT STE 200, MIAMI LAKES, FL 33016-5873
(305) 558-3724
(786) 907-4485

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY429
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003603000
FL
Enumeration date
03/07/2007
Last updated
12/19/2022
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