Leslie Diane Acreman
Individual provider Active NPI Chiropractor · Lake Mary, FL
NPI 1124745823 · NPPES record last updated May 17, 2023
Key facts
- NPI
- 1124745823
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 14234 (FL)
- Practice address
- 580 Rhinehart Rd
Unit 100
Lake Mary, FL 32746-1551 - Phone
- (321) 695-1151
- NPI assigned
- Oct 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230612001969 | FL | Practitioner - Chiropractic | 4688031461 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14234 | FL | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14234 | FL | Yes |
Addresses
Primary practice location
580 Rhinehart Rd
Unit 100
Lake Mary, FL 32746-1551
Mailing address
580 Rhinehart Rd
Unit 100
Lake Mary, FL 32746-1551
Phone (321) 695-1151
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.