MRS. LESLIE LAUREN MACKEY (NPI# 1619928355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619928355 |
| Entity Type | Individual |
| Full Name | MRS. LESLIE LAUREN MACKEY |
| Credential | PA-C |
| Practice Address |
601 E Rollins Ave Orlando FL 32803-1248 |
| Mailing Address |
Po Box 950927 Lake Mary FL 32795-0927 |
| Practice Telephone | 4073036611 |
| Mailing Telephone | 4073280825 |
| Mailing Fax Number | 4073225478 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA2988 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
601 E ROLLINS AVE |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-1248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881825602 | Surgical Excellence LLC | Physician Assistant | 601 E Rollins Ave, Orlando, FL 32803-1248 | 2009-07-28 |
| 1316182850 | Florida Heart Group | Internal Medicine | 601 E Rollins Ave, Orlando, FL 32803-1248 | 2008-12-12 |
| 1649459389 | Southern Surgical Services, LLC | Physician Assistant | 601 E Rollins Ave, Orlando, FL 32803-1248 | 2007-10-30 |
| 1205845633 | Ramkishan Rao Gummadapu | Family Medicine | 601 E Rollins Ave, Orlando, FL 32803 | 2006-08-05 |
| 1083649529 | Gleen John Lim Go | Internal Medicine | 601 E Rollins Ave, Orlando, FL 32803 | 2006-07-12 |
| 1265465603 | Christopher Charles Buddendorff | Internal Medicine | 601 E Rollins Ave, Orlando, FL 32803 | 2006-07-09 |
| 1255363651 | Antonio Algene Cunanan | Internal Medicine | 601 E Rollins Ave, Orlando, FL 32803 | 2006-07-07 |
| 1033158423 | Lee Vladimir Smyk | Obstetrics & Gynecology | 601 E Rollins Ave, Orlando, FL 32803-1248 | 2006-06-04 |
| 1285688580 | Herly Anthony Ramos | Physician Assistant | 601 E Rollins Ave, Orlando, FL 32803-1248 | 2006-05-20 |
| 1013969823 | Gene Charles Miller | Surgery | 601 E Rollins Ave, Orlando, FL 32803-1248 | 2006-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
| 1750843405 | Heather Louise Anderson | Physician Assistant | 5422 Lewiston St, Orlando, FL 32812 | 2019-04-02 |
| 1649600891 | Raul F Velez | Physician Assistant | 14139 Budworth Cir, Orlando, FL 32832-6123 | 2013-11-24 |
| 1255630075 | Joleen Chapman | Physician Assistant | 122 Annie St, Orlando, FL 32806-1214 | 2011-03-18 |
| 1124354600 | Tiffany M Murray | Physician Assistant | 83 W Copeland Dr, Orlando, FL 32806-2002 | 2009-10-19 |
| 1225277825 | M Catherine Broderick | Physician Assistant | 1720 S Cook Avenue, Orlando, FL 32808 | 2009-02-05 |
| 1033360938 | Monica M Rivera | Physician Assistant | 2591 Carrickton Cir, Orlando, FL 32824-4217 | 2008-10-09 |
| 1316104383 | Michele D Young | Physician Assistant | 3802 Oakwater Cir Ste 3, Orlando, FL 32806-6200 | 2008-05-19 |
| 1033162011 | Southeastern Clinical Services,inc. | Physician Assistant | 4215 Edgewater, Orlando, FL 32804 | 2006-05-18 |
| 1386696631 | Kevin P Kingsley | Physician Assistant | 2501 N Orange Ave Ste 411, Orlando, FL 32804-4644 | 2006-05-16 |
| Find all providers in ORLANDO | ||||
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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.