Provider Demographics
NPI:1568550226
Name:LEIMER, LESLI M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LESLI
Middle Name:M
Last Name:LEIMER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 S ORANGE AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-6946
Mailing Address - Country:US
Mailing Address - Phone:407-859-9333
Mailing Address - Fax:407-859-3220
Practice Address - Street 1:4401 S ORANGE AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-6946
Practice Address - Country:US
Practice Address - Phone:407-859-9333
Practice Address - Fax:407-859-3220
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS33516183500000X
SC9870183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist