Individual
BRIAN GUY LEDUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1150 N 35TH AVE STE 560, HOLLYWOOD, FL 33021-5431
(954) 265-1370
(954) 265-1375
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
11629A
WY
2084P0800X
Psychiatry Physician
Primary
ME153219
FL
2084P0800X
Psychiatry Physician
TL4390
WY
390200000X
Student in an Organized Health Care Education/Training Program
36088
SC
Other
Enumeration date
03/29/2010
Last updated
01/05/2022
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