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LESLEE E BAUTE PA

Physicians Dermatology

Provider NPI: 1164672721

Provider Information:
 LESLEE E BAUTE PA
Gender: F
Not Sole Proprietor

Practice Location:
4002 SUN CITY CENTER BLVD UNIT 102 SUN CITY CENTER, FL 33573-5208 US
Tel: 813-634-1455  Fax: 813-642-8355

Business Mailing Address:
4002 SUN CITY CENTER BLVD UNIT 102 SUN CITY CENTER, FL 33573-5208 US
Tel: 813-634-1455  Fax: 813-642-8355

NPI Information:
NPI: 1164672721
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207N00000XPhysicians
Dermatology
FLPA9104766
N363AS0400XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
FLPAT9104766

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 207N00000X

Type:

Classification:



Definition:



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