Individual
NICOLE LECLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 6TH ST S, ST PETERSBURG, FL 33701-4814
(727) 893-6288
(904) 244-7131
Mailing address
701 6TH ST S, ST PETERSBURG, FL 33701-4814
(727) 893-6288
(904) 244-7131
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS19761
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118865900
—
FL
Enumeration date
03/20/2019
Last updated
11/15/2025
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