Individual
DR. LESLIE ANN CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
27607 STATE ROAD 56, SUITE 101, WESLEY CHAPEL, FL 33544-8834
(813) 406-4993
(813) 406-4997
Mailing address
27607 STATE ROAD 56, SUITE 101, WESLEY CHAPEL, FL 33544-8834
(813) 406-4993
(813) 406-4997
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3438
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620574700
—
FL
Enumeration date
08/24/2005
Last updated
11/05/2009
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