LESLIE PUTMAN (NPI# 1902874647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902874647 |
| Entity Type | Individual |
| Full Name | LESLIE PUTMAN |
| Credential | PA |
| Practice Address |
2623 S Seacrest Blvd Suite 108 Boynton Beach FL 33435-7501 |
| Mailing Address |
926 Nw 13th Ave Boynton Beach FL 33426-2947 |
| Practice Telephone | 5617376556 |
| Mailing Telephone | 5617383184 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA0003042 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2623 S SEACREST BLVD SUITE 108 |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33435-7501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013915636 | Rogelio A Brito | Internal Medicine | 2623 S Seacrest Blvd, Suite 216, Boynton Beach, FL 33435-7501 | 2005-07-08 |
| 1376003467 | Anika Bethel | Internal Medicine | 2623 S Seacrest Blvd, Boynton Beach, FL 33435-7501 | 2019-03-23 |
| 1720574742 | Anitha Chandran | Student in an Organized Health Care Education/Training Program | 2623 S Seacrest Blvd, Boynton Beach, FL 33435 | 2018-07-02 |
| 1356847933 | Sanja Hotic Patino | Student in an Organized Health Care Education/Training Program | 2623 S Seacrest Blvd, Boynton Beach, FL 33435-7501 | 2018-04-03 |
| 1134625981 | Oladipo Bankole Cole | Student in an Organized Health Care Education/Training Program | 2623 S Seacrest Blvd, Boynton Beach, FL 33435-7501 | 2018-04-02 |
| 1821594516 | Wayne Fluss | Student in an Organized Health Care Education/Training Program | 2623 S Seacrest Blvd, Boynton Beach, FL 33435-7501 | 2018-04-02 |
| 1205331352 | Kendall Rae Johnson | Student in an Organized Health Care Education/Training Program | 2623 S Seacrest Blvd, Boynton Beach, FL 33435-7501 | 2018-03-29 |
| 1184129207 | Lilibeth Jauregui | Student in an Organized Health Care Education/Training Program | 2623 S Seacrest Blvd, Boynton Beach, FL 33435-7501 | 2018-03-29 |
| 1720583974 | David Lloyd Waldburg V | Student in an Organized Health Care Education/Training Program | 2623 S Seacrest Blvd, Boynton Beach, FL 33435-7501 | 2018-03-29 |
| 1437654662 | Eric Joseph Chacko | Student in an Organized Health Care Education/Training Program | 2623 S Seacrest Blvd, Boynton Beach, FL 33435-7501 | 2018-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824186 | Sarah Gostich | Podiatrist | 2815 S Searest Blvd, Boynton Beach, FL 33435 | 2019-08-01 |
| 1104487768 | Amira Nabil Halim Ibrahim | Student in an Organized Health Care Education/Training Program | Florida Atlantic University Medicine-bethesda Hospital, 2623 S Seacrest Blvd, Boynton Beach, FL 33435 | 2019-06-25 |
| 1972064491 | Elizabeth Anita Calhoun | Emergency Medicine | Bethesda Hospital East, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-27 |
| 1164983086 | Thomas Rex Peterson | Emergency Medicine | Fau Emergency Medicine, Bethesda Hospital East, Attn: Joanne Daly, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-26 |
| 1033686068 | Valery L. Petit-homme | Behavior Technician | 515 Se 20th Ave, Apt 10a, Boynton Beach, FL 33435 | 2018-10-29 |
| 1104391648 | Summit Detox | Psychiatry & Neurology | 3330 S. Federal Highway, 3rd Floor, Boynton Beach, FL 33435 | 2018-10-11 |
| 1184120008 | Zachariah Hatoum | Student in an Organized Health Care Education/Training Program | 2815 South Seacrest Blvd., Gme Suite Lower Level B, Boynton Beach, FL 33435 | 2018-03-30 |
| 1922503135 | Anneka Mariesha Hutton | Student in an Organized Health Care Education/Training Program | 2623 South Seacrest Boulevard, Florida Atlantic University Medicine At Bethesda Hospit, Boynton Beach, FL 33435 | 2018-03-28 |
| 1477079473 | Benezon LLC | Case Management | 609 Manatee Bay Drive, Boynton Beach, FL 33435 | 2017-08-21 |
| 1750814091 | Maria Mijares | Student in an Organized Health Care Education/Training Program | 2623 South Seacrest Blvd., Suite 100, Fau Medicine At Bhe, Boynton Beach, FL 33435 | 2017-04-04 |
| Find all providers in zip 33435 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373086 | Katherine Renee Cook | Physician Assistant | 901 Sw 33rd Pl, Boynton Beach, FL 33435-8507 | 2020-07-21 |
| 1679027353 | Julie Fallon Moreno Falk | Physician Assistant | 8794 W Boynton Beach Blvd Ste 208, Boynton Beach, FL 33472-4469 | 2016-08-10 |
| 1083058788 | Giuliana Cassidy | Physician Assistant | 1107 Coastal Bay Blvd, Boynton Beach, FL 33435-7825 | 2013-04-24 |
| 1386994531 | Natalia Salom Sorensen | Physician Assistant | 8756 Boynton Rd W Ste 150, Boynton Beach, FL 33472-4442 | 2012-09-14 |
| 1861783987 | Daila A. Cano | Physician Assistant | 4107 Heartstone Pl, Boynton Beach, FL 33436-9433 | 2011-04-23 |
| 1568613479 | Deborah Jane Diaz | Physician Assistant | 2800 S Seacrest Blvd Ste 140, Boynton Beach, FL 33435-7943 | 2008-10-09 |
| 1720275266 | Cheryl Lori Zeidman | Physician Assistant | 715 W Boynton Beach Blvd Ste C, Boynton Beach, FL 33426 | 2007-09-28 |
| 1083643266 | Barbara Acosta | Physician Assistant | 1760 N Congress Ave Ste 200, Boynton Beach, FL 33426 | 2006-07-01 |
| 1528019247 | Mobile Medical Industries Inc | Physician Assistant | 2500 Quantum Lakes Dr, Suite 108, Boynton Beach, FL 33426-8324 | 2006-05-15 |
| 1972563658 | Jeffrey David Cohen | Physician Assistant | 55 Cambridge Ln, Boynton Beach, FL 33436-6216 | 2006-03-25 |
| Find all providers in BOYNTON BEACH | ||||
| City | BOYNTON BEACH |
| Zip Code | 33435 |
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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.