NPIMap

Organization Active NPI

Fred L. Leslie, DO., P.L.

  • Family Medicine Physician
  • Seminole, FL
National Provider Identifier
1962751529
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS3678 Issued in FL
Legal business name
FRED L. LESLIE, DO., P.L.
Practice address
10875 Park Blvd
Suite C
Seminole, FL 33772-5456
Phone
(727) 851-9910
Fax
(727) 851-9949
NPI assigned
Aug 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Authorized official

Name
Dr. Fred Lee Leslie, D.O.
Title
Owner
Phone
(727) 851-9910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS3678 FL Primary

Addresses

Primary practice location

10875 Park Blvd
Suite C
Seminole, FL 33772-5456

Mailing address

10875 Park Blvd
Suite C
Seminole, FL 33772-5456
Phone (727) 851-9910

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1962751529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10875 PARK BLVD",
            "address_2": "SUITE C",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337725456",
            "telephone_number": "727-851-9910",
            "fax_number": "727-851-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10875 PARK BLVD",
            "address_2": "SUITE C",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337725456",
            "telephone_number": "727-851-9910",
            "fax_number": "727-851-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED L. LESLIE, DO., P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "LESLIE",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-851-9910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS3678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.