Leblanc, Elleri Wyatt

Leblanc, Elleri Wyatt is an individual health care provider with primary practice located at 1935 State Road 436 Ste 1005 , Winter Park FL 32792-2244. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Leblanc, Elleri Wyatt can be contacted via phone (407) 629-9455.

Contact Information

Primary practice address
1935 State Road 436 Ste 1005 Winter Park FL 32792-2244
Phone: (407) 629-9455
Fax: (407) 629-9138
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT10618 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT18517 Florida

Profile Details

NPI number 1003998808
LBN Legal business name Leblanc, Elleri Wyatt
Credentials MSOTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Aug 14th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003998808 NPPES
Florida MEDICAID 8881916100

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