Individual
CHERRYLL A. LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1613 HARRISON PKWY, #200, SUNRISE, FL 33323-2853
(954) 838-2371
(954) 851-1758
Mailing address
4655 CHADWICK DRIVE, BEAUMONT, TX 77706
(409) 347-4400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
013378
LA
207P00000X
Emergency Medicine Physician
Primary
K6085
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113380304
—
TX
05
—
164362903
—
TX
05
—
168991101
—
TX
05
—
168991102
—
TX
05
—
168991104
—
TX
Enumeration date
06/05/2006
Last updated
05/07/2008
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