Nicole Leclair
Anesthesiology Physician in Jacksonville, FL(View on Map)
Full Name
Nicole Leclair
NPI Number
1053871616
NPI Type
Individual Provider
Gender
Female
Enumeration Date
03/20/2019
Specialties
(Taxonomies)Code
207L00000X
390200000X
Primary Taxonomy
Yes
No
Licenses
State
Florida
License Number
UO6849
Contact
Information
Purpose
Mailing
Location
Address
653 W 8TH ST
653 W 8TH ST
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32209-6511
32209-6511
Country
US
US
Telephone Number
(904) 383-1015
(904) 383-1015
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/28/2020
Provider Address
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