Provider Demographics
NPI:1932370491
Name:MILOS, LESLIE CAROL (ARNP-C)
Entity Type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:CAROL
Last Name:MILOS
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:784 S RIDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-7655
Mailing Address - Country:US
Mailing Address - Phone:386-299-0918
Mailing Address - Fax:386-274-2009
Practice Address - Street 1:1510 MASON AVE
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32117-4549
Practice Address - Country:US
Practice Address - Phone:386-274-2090
Practice Address - Fax:386-274-2009
Is Sole Proprietor?:No
Enumeration Date:2008-03-12
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 2797782363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health