Leclercq, Baudouin

Leclercq, Baudouin is an sole proprietor health care provider with primary practice located at 2810 W Saint Isabel St Ste 102 , Tampa FL 33607-6375. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Leclercq, Baudouin can be contacted via phone (813) 872-8480.

Contact Information

Primary practice address
2810 W Saint Isabel St Ste 102 Tampa FL 33607-6375
Phone: (813) 872-8480
Fax: (813) 872-8579
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME81654 Florida

Profile Details

NPI number 1922007764
LBN Legal business name Leclercq, Baudouin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2005
Last updated Jan 2nd, 2019 - about 7 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 1922007764 NPPES
Florida MEDICAID 260633000
Florida Other P00150829
Florida Other CD4677

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