Dr. Leslie Surara Chua-ravago
M.D. | Pediatrics | Female
Dr. Leslie Surara Chua-ravago, M.D. is a Jacksonville, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Leslie Surara Chua-ravago is
5460 Blanding Blvd, Anchor Plaza Family Practice, Jacksonville, Florida - 32244-1957. She can be contacted on phone at
904-633-0610 and fax number 904-633-0611.
Dr. Leslie Surara Chua-ravago is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Leslie Surara Chua-ravago is
1487613535 which was assigned by NPPES on 18 Mar, 2006 and it was last updated on 22 Apr, 2009.
Dr. Leslie Surara Chua-ravago license number is
ME73649 for Pediatrics (208000000X) in Florida.
Dr. Leslie Surara Chua-ravago is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Leslie Surara Chua-ravago basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Leslie Surara Chua-ravago |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Leslie Surara Chua-ravago address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5460 Blanding Blvd, Anchor Plaza Family Practice
Jacksonville, FL, 32244-1957
United States |
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| Phone Number : | 904-633-0610 |
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| Fax Number : | 904-633-0611 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1487613535 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Mar, 2006 |
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| Last Updated On : | 22 Apr, 2009 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Leslie Surara Chua-ravago are as mentioned. Primary taxonomy code for Dr. Leslie Surara Chua-ravago, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | ME73649 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Leslie Surara Chua-ravago such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000760647B | MEDICAID | GA | |
| 2522209-00 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 44008, Ufjp Provider Enrollment
Jacksonville, FL, 32231-4008
United States |
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Business Location:
Patients can refer following map for directions to
Dr. Leslie Surara Chua-ravago practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.