Leslie L. Smith, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS0007694 Issued in FL

Practice address

2400 State Road 415
Sanford, FL 32771-6012

Phone

(407) 322-8645

Fax

(407) 324-7311

NPI assigned

Jun 9, 2005

Last updated

Sep 5, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Florida Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
  • NPI 1255668620
  Authorized official Same address or phone
• Central Florida Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
  • NPI 1336579572
  NPD (past) Authorized official
• Central Florida Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
  • NPI 1386953206
  Authorized official Same address or phone
• Central Florida Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
  • NPI 1649241704
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1831193697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 STATE ROAD 415",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716012",
            "telephone_number": "407-322-8645",
            "fax_number": "407-324-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 STATE ROAD 415",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716012",
            "telephone_number": "407-322-8645",
            "fax_number": "407-324-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LESLIE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0007694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "47084",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE MEDICARE",
            "identifier": "172745",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257196000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01114593",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smile Oasis at Sanford PA
• Smiletown Dental LLC
• Brent Smith
• Christopher Smith, PSY. D.
• Latasha Monique Smith
• Tiffany Denise Smith
• Sarabjit Sodhi
• Sukhpaul Sodhi
• Charlene R Solloway, MA
• Cynthia Ann Soltani, RPH

• Family Medicine Physician in Sanford, FL
• Providers in Sanford, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.