Individual
LESLY DESROULEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
38754 STATE ROAD 80, BELLE GLADE, FL 33430-5615
(561) 996-1600
(561) 837-5332
Mailing address
38754 STATE ROAD 80, BELLE GLADE, FL 33430-5615
(561) 996-1600
(561) 837-5332
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME59527
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055145700
—
FL
Enumeration date
07/05/2006
Last updated
01/09/2013
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