Skirvin-Leclair, Brian

Skirvin-Leclair, Brian is an individual health care provider with primary practice located at 1850 Sw Fountainview Blvd Ste 105 , Port Saint Lucie FL 34986-4527. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Skirvin-Leclair, Brian can be contacted via phone (772) 336-2818.

Contact Information

Primary practice address
1850 Sw Fountainview Blvd Ste 105 Port Saint Lucie FL 34986-4527
Phone: (772) 336-2818
Fax: (772) 336-5313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN9403698 Florida

Profile Details

NPI number 1396140307
LBN Legal business name Skirvin-Leclair, Brian
Credentials APRN, DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2014
Last updated Jan 30th, 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 1396140307 NPPES
Florida MEDICAID 015354200

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