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MR. LEROY ANSELM MARKLUND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
7797 NW 114TH PATH, MEDLEY, FL 33178-1383
(305) 807-0045
Mailing address
1800 NW 10TH AVE, US ATTC SUITE T-215, MIAMI, FL 33136-1018
(305) 585-1852

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
16422
CA
364SA2100X
Acute Care Clinical Nurse Specialist
2685
CA

Other

Enumeration date
04/18/2008
Last updated
04/18/2008
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