Individual
BRIAN SKIRVIN-LECLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, DNP
Contact information
Practice address
1850 SW FOUNTAINVIEW BLVD STE 105, PORT SAINT LUCIE, FL 34986-4527
(772) 336-2818
(772) 336-5313
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(772) 336-2818
(772) 336-5313
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9403698
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015354200
—
FL
Enumeration date
11/03/2014
Last updated
01/30/2019
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