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Individual

LESLIE ASTON WATTKIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1601 CLINT MOORE RD, BOCA RATON, FL 33487-2768
(561) 939-0208
Mailing address
1601 CLINT MOORE RD STE 9, BOCA RATON, FL 33487-2768

Taxonomy

Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
9411334
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
9411334
FL

Other

Enumeration date
10/04/2018
Last updated
01/23/2026
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