Provider Demographics
NPI:1881588788
Name:ROSADO-MONTES, LESLIE A (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:A
Last Name:ROSADO-MONTES
Suffix:
Gender:M
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9282 MOSS PRESERVE PARKWAY
Mailing Address - Street 2:APT. 105
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832
Mailing Address - Country:US
Mailing Address - Phone:561-788-0454
Mailing Address - Fax:
Practice Address - Street 1:9282 MOSS PRESERVE PARKWAY
Practice Address - Street 2:APT. 105
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832
Practice Address - Country:US
Practice Address - Phone:561-788-0454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL110069662084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology