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Marissa Grace Leli

Physician Assistant in Naples, FL. Individual provider (NPI-1).

NPI number1114782000
StatusActive
Last updated in NPPESFeb 19, 2024

Details

NPI
1114782000
Entity type
Individual (NPI-1)
Name
Marissa Grace Leli
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 19, 2024
Certification date
Feb 19, 2024
Last updated
Feb 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA9118485FLYes

Practice location

6376 Pine Ridge Rd Unit 180
Naples, FL 34119-3926

Phone 239-263-0849

Mailing address

10620 Founders Way Unit 307
Bonita Springs, FL 34135-5624

Phone 239-220-4804

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