Female

Dr. Leslie F. Carroll MD

Pediatrics Physician in St Petersburg, FL(View on Map)

Full Name

Dr. Leslie F Carroll MD

NPI Number

1700872462

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/27/2005

Specialties

(Taxonomies)

Code

208000000X

Primary Taxonomy

Yes

Licenses

State

Florida
Pennsylvania

License Number

ME98106
MD041783L

Contact
Information

Purpose

Mailing
Location

Address

501 6TH AVE S
501 6TH AVE S

City

St Petersburg
St Petersburg

State

FL
FL

Postal Code

33701-4634
33701-4634

Country

US
US

Telephone Number

(727) 767-4429
(727) 767-4243

Identifiers

Identifier

471557
000113100
91022
001210693
323324
9217007
4254661

Identifier State

Unknown
FL
FL
PA
Unknown
Unknown
Unknown

Identifier Issuer

STAYWELL/HEALTHEASE
Unknown
BC/BS
Unknown
AVMED
CIGNA
AETNA

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/19/2010

Provider Address

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