LESLIE ANN CLARK (NPI# 1255676839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255676839 |
Entity Type | Individual |
Full Name | LESLIE ANN CLARK |
Credential | ARNP |
Practice Address |
10000 W Colonial Dr Ste 386 Ocoee FL 34761-3400 |
Practice Telephone | 4072961990 |
Practice Fax Number | 4072961992 |
Mailing Telephone | 4072961990 |
Mailing Fax Number | 4072961992 |
Enumeration Date | 2012-12-07 |
Last Update Date | 2016-11-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP 9277706 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
ARNP9277706 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | N/A | 05 | |
FL | MEDICAL LICENSE | ARNP9277706 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801156997 | Leslie Joy Clark | Social Worker | 4830 Lakewood Dr Ste 2, Waco, TX 76710-2969 | 2012-05-22 |
1316406218 | Leslie Marice Clark | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2019-03-19 |
1942766555 | Leslie Clark | Registered Nurse | 2715 Saint Andrews Loop Ste D, Pasco, WA 99301-3386 | 2019-02-19 |
1538661400 | Leslie B Clark | Physical Therapist | 2901 Ridgelake Drive, Suite 209, Metairie, LA 70002-4922 | 2018-03-06 |
1477966695 | Leslie Clark | Dental Hygienist | 2460 Willamette St, Eugene, OR 97405-3169 | 2014-06-05 |
1497092704 | Leslie A. Clark | Social Worker | 12970 W Bluemound Rd Ste 200, Elm Grove, WI 53122-2607 | 2013-01-07 |
1508112921 | Leslie Clark | Speech-Language Pathologist | 185 Charlois Blvd, Winston Salem, NC 27103-1521 | 2012-08-03 |
1154677011 | Leslie Clark | Physical Therapist | 2744 S 17th St, Wilmington, NC 28412-6606 | 2012-07-30 |
1518234327 | Leslie Erin Clark | Registered Nurse | 5671 Santa Teresa Blvd, 105, San Jose, CA 95123-6512 | 2011-11-22 |
1467752436 | Leslie Mason Clark | Dietitian, Registered | 472 Klutey Park Plaza Dr, Henderson, KY 42420-3348 | 2010-10-25 |
Street Address |
10000 W COLONIAL DR STE 386 |
City | OCOEE |
State | FL |
Zip Code | 34761-3400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184622789 | Naveen Darakshan | Internal Medicine | 10000 W Colonial Dr, Suite 480, Ocoee, FL 34761-3498 | 2005-07-08 |
1407454135 | Krista Parsons | Nurse Practitioner | 10000 W Colonial Dr, Ocoee, FL 34761-3499 | 2020-10-14 |
1528603990 | Melissa Christin Bosser | Nurse Practitioner | 10000 W Colonial Dr, Ocoee, FL 34761-3400 | 2019-11-08 |
1407406853 | Tara Marie Chapman | Nurse Practitioner | 10000 W Colonial Dr, Ocoee, FL 34761-3400 | 2019-09-18 |
1376191023 | Jawed Akhter Mallick | Nurse Practitioner | 10000 W Colonial Dr, Ocoee, FL 34761-3400 | 2019-08-27 |
1053978957 | Abigail Key | Nurse Practitioner | 10000 W Colonial Dr, Ocoee, FL 34761-3499 | 2019-05-26 |
1619449246 | Chad Michael Ward | Nurse Practitioner | 10000 W Colonial Dr, Ocoee, FL 34761-3400 | 2018-12-20 |
1891292306 | Viviana Gambuzza | Nurse Practitioner | 10000 W Colonial Dr, Ocoee, FL 34761-3400 | 2018-04-11 |
1326543562 | Christina M Broom | Emergency Medicine | 10000 W Colonial Dr, Ocoee, FL 34761-3400 | 2018-03-29 |
1912437419 | Cindy J Barrington | Nurse Practitioner | 10000 W Colonial Dr, Ocoee, FL 34761 | 2017-06-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033736186 | Alyson Foisy | Behavior Technician | 2930 Maguire Road, Suite 200, Ocoee, FL 34761 | 2020-07-05 |
1033732797 | Nephron Care & Dialysis LLC | Internal Medicine | Health Central Hospital, 10000 West Colonial Drive, Ocoee, FL 34761 | 2020-05-28 |
1255969259 | Medical Risk Solutions | Family Medicine | 175 N Bluford Ave, Ocoee, FL 34761 | 2020-03-27 |
1912533027 | Fm Dental, LLC | Clinic/Center | 1104 South Clarke Rd, Suite 10, Ocoee, FL 34761 | 2020-03-20 |
1518509330 | Noel Christine Montoya | Behavior Technician | 2930 Maguire Rd Suite 200, Ocoee, FL 34761 | 2019-10-14 |
1346895166 | Dentists of Ocoee, Pa | Dentist | 11050 West Colonial Drive, Suite 30, Ocoee, FL 34761 | 2019-08-08 |
1386209575 | Chantal Monde | Nurse Practitioner | 1000 W Colonial Drive, Ocoee, FL 34761 | 2019-05-03 |
1740844422 | Angela Renee's Home Care LLC | In Home Supportive Care | 2398 Cory Ct, Ocoee, FL 34761 | 2019-04-27 |
1346713492 | Orlando Health Central, Inc. | Skilled Nursing Facility | 1300 Hempel Avenue, Ocoee, FL 34761 | 2019-01-10 |
1609352970 | Agape's Way, Inc | Nursing Care | 1851 Sparkling Water Circle, Ocoee, FL 34761 | 2018-07-19 |
Find all providers in zip 34761 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
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1235648296 | Lindsay Danielle Leider | Nurse Practitioner | 1625 Se 3rd Ave Ste 502, Fort Lauderdale, FL 33316-2521 | 2017-09-21 |
1720516974 | Polina Goldenberg | Nurse Practitioner | 1001 Nw 13th St Ste 101a, Boca Raton, FL 33486-2269 | 2017-06-01 |
1780044750 | Cherie Gordon | Nurse Practitioner | 2818 W Virginia Avenue, Tampa, FL 33607 | 2016-03-03 |
1487032967 | Doris Washington Tucker | Nurse Practitioner | 15013 Sw 110th Ter, Miami, FL 33196-2599 | 2015-05-15 |
1962895326 | University of Florida Jacksonville Physicians Inc | Nurse Practitioner | 15255 Max Leggett Pkwy Ste 4600, Ufjp - Uf Health Birth Center, Jacksonville, FL 32218-7213 | 2015-03-10 |
1538587332 | Midwife360, LLC | Nurse Practitioner | 332 W Boynton Beach Blvd # 3, Boynton Beach, FL 33435 | 2014-03-31 |
1811324965 | Dalia Philbeck | Nurse Practitioner | 15255 Max Leggett Pkwy Ste 4400, Jacksonville, FL 32218-7273 | 2013-10-03 |
1407122088 | Gloria Scheiner | Nurse Practitioner | 339 Mcintosh Ave, Orange Park, FL 32073-4831 | 2012-03-28 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.