Organization Active NPI

Leslie Putman PLLC

  • Physician Assistant
  • Boynton Beach, FL
National Provider Identifier
1124862784
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
LESLIE PUTMAN PLLC
Practice address
926 NW 13TH Ave
Boynton Beach, FL 33426-2947
Phone
(602) 428-6915
Fax
(602) 429-8531
NPI assigned
Jun 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Adam Syed
Title
Manager
Phone
(602) 428-6915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

926 NW 13TH Ave
Boynton Beach, FL 33426-2947

Mailing address

926 NW 13TH Ave
Boynton Beach, FL 33426-2947
Phone (602) 428-6915

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1124862784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 NW 13TH AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334262947",
            "telephone_number": "602-428-6915",
            "fax_number": "602-429-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 NW 13TH AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334262947",
            "telephone_number": "602-428-6915",
            "fax_number": "602-429-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE PUTMAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-428-6915"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.