Suzann Leslie DO PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS7063 Issued in FL

Legal business name

SUZANN LESLIE DO PA

Practice address

506 Southwest Federal Highway
Suite 101
Stuart, FL 34995

Phone

(772) 288-6300

Fax

(772) 288-6374

NPI assigned

Oct 1, 2007

Organization subpart

No

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

Authorized official

Name

Suzann M Leslie, D.O.NPI 1578540829

Title

Owner

Phone

(772) 288-6300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suzann M Leslie, D.O.

  • Family Medicine Physician
  • Stuart, FL
  • NPI 1578540829
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1891982138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 SE OCEAN BLVD",
            "address_2": "SUITE 182",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34996",
            "telephone_number": "772-288-6300",
            "fax_number": "772-288-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 SOUTHWEST FEDERAL HIGHWAY",
            "address_2": "SUITE 101",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34995",
            "telephone_number": "772-288-6300",
            "fax_number": "772-288-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANN LESLIE DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "LESLIE",
        "authorized_official_first_name": "SUZANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-288-6300",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Stuart, FL
• Providers in Stuart, 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 May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.