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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003998808 | NPPES |
| Florida | MEDICAID | 8881916100 |
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