DR. LESLEY CLARK-LOESER (NPI# 1265429583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265429583 |
| Entity Type | Individual |
| Full Name | DR. LESLEY CLARK-LOESER |
| Credential | M.D. |
| Practice Address |
3501 S University Dr Suite 5 Davie FL 33328-2001 |
| Practice Telephone | 9549980345 |
| Practice Fax Number | 9549980344 |
| Mailing Telephone | 9549980345 |
| Mailing Fax Number | 9549980344 |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2017-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME92842 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BC & BS OF FLORIDA | 28636 | 01 |
| Street Address |
3501 S UNIVERSITY DR SUITE 5 |
| City | DAVIE |
| State | FL |
| Zip Code | 33328-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164996914 | Adriana Gutierrez | Counselor | 3501 S University Dr, Davie, FL 33328-2001 | 2019-01-15 |
| 1457868770 | Melissa Sue O'neill | Counselor | 3501 S University Dr, Davie, FL 33328-2001 | 2018-01-09 |
| 1093269037 | Stephane Louis | Counselor | 3501 S University Dr, Davie, FL 33328-2001 | 2016-08-08 |
| 1447648654 | Denneshia Spratt | Social Worker | 3501 S University Dr, 6, Davie, FL 33328-2001 | 2014-12-23 |
| 1912324237 | Annette Y Burn | Counselor | 3501 S University Dr, Davie, FL 33328-2001 | 2014-03-25 |
| 1124451265 | Bronwyn Elizabeth Heiss | Counselor | 3501 S University Dr, 6, Davie, FL 33328-2001 | 2013-08-13 |
| 1831437755 | Monica Scaccianoce | Nurse Practitioner | 3501 S University Dr, Davie, FL 33328-2001 | 2013-01-28 |
| 1043504467 | Quashana Luckett | Student in an Organized Health Care Education/Training Program | 3501 S University Dr, Suite 9, Davie, FL 33328-2001 | 2011-06-02 |
| 1316231723 | Galit Weissman | Student in an Organized Health Care Education/Training Program | 3501 S University Dr, Suite 9, Davie, FL 33328-2001 | 2011-06-02 |
| 1780981761 | Gesell Gavidia | Behavioral Analyst | 3501 S University Dr, Suite 9, Davie, FL 33328-2001 | 2011-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306496708 | Venise Jacqueslouis | Behavior Technician | 8001 We 36th St, Suite 9, Davie, FL 33328 | 2019-09-17 |
| 1134780539 | 1st Nursing Care Services | Registered Nurse | 10335 Sw 50th Ct, Cooper City, FL 33328 | 2019-06-26 |
| 1023572245 | Rezan Tewolde | Pharmacist | 37772 Churchill Downs Drive, Davie, FL 33328 | 2019-01-23 |
| 1497237820 | Yasmeen Dahsheh | Behavior Technician | 8001 Sw 36th Street Suite #9, Davie, FL 33328 | 2018-09-01 |
| 1831686948 | Kristal Arias | Behavior Technician | 8001 Sw 36th Street, Suite #9, Davie, FL 33328 | 2018-04-16 |
| 1952810384 | April R Hardy | Behavior Technician | 8001 Sw 36 Street Suite 9, Davie, FL 33328 | 2017-09-28 |
| 1609391556 | Courtney M Talbert | Behavior Technician | 8001 Sw 36 St, Suite 9, Davie, FL 33328 | 2017-08-11 |
| 1639619349 | Remya Mathew | General Acute Care Hospital | 10030 Grove Ln, Cooper City, FL 33328 | 2017-02-28 |
| 1184161945 | Elizabeth Stabinski | Marriage & Family Therapist | 4900 South University Drive, Suite 200d, Davie, FL 33328 | 2017-01-31 |
| 1285097659 | Pandolfi Counseling Associates, Inc. | Social Worker | 5291 Sw 89th Ave, Cooper City, FL 33328 | 2016-04-01 |
| Find all providers in zip 33328 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073705158 | Juan Ramon Monserrate | Specialist | 6185 Hawkes Bluff Ave, Davie, FL 33331-3422 | 2007-08-13 |
| 1376665570 | Vincent Marino | Specialist | 3141 Hidden Hollow Ln, Davie, FL 33328-6927 | 2007-04-06 |
| 1649306820 | Karl Eric Backman | Specialist | 3440 S University Dr, Davie, FL 33328-2000 | 2007-02-24 |
| 1417002585 | Mary Lou Dinicolas | Specialist | 4149 S Pine Island Rd, Davie, FL 33328-2831 | 2007-01-25 |
| 1578632618 | Edward S. Truppman M.d., P.a. | Specialist | 12575 Orange Dr, 301, Davie, FL 33330-4302 | 2006-11-06 |
| 1043305535 | Lori Rose Snyder | Specialist | 2741 Sw 81st Way, Davie, FL 33328-1617 | 2006-10-03 |
| 1023111390 | Edward Joseph Buonopane | Specialist | 5700 Griffin Rd Ste 130, Davie, FL 33314-4538 | 2006-09-05 |
| 1528013976 | Davie Medi Center | Specialist | 3181 Davie Blvd, Davie, FL 33312-2728 | 2006-05-24 |
| 1740233097 | Dwayne Scott Owens | Specialist | 3629 E Forge Rd, Davie, FL 33328-2617 | 2006-05-18 |
| 1659365781 | Ryan S Grove | Specialist | 7500 Sw 30th St, Davie, FL 33314-1020 | 2005-09-05 |
| Find all providers in DAVIE | ||||
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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.