Provider Demographics
NPI:1376527622
Name:LESCHINSKY, TRACEY PAULINE (ARNP-C)
Entity Type:Individual
Prefix:MRS
First Name:TRACEY
Middle Name:PAULINE
Last Name:LESCHINSKY
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5374 MONTEREY CIR UNIT 92
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-7815
Mailing Address - Country:US
Mailing Address - Phone:954-234-9048
Mailing Address - Fax:
Practice Address - Street 1:8903 GLADES RD STE A11
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434
Practice Address - Country:US
Practice Address - Phone:561-482-7575
Practice Address - Fax:561-482-7724
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3326722363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
Y124JOtherFLORIDA BCBS