Individual
MR. EMMANUEL LECCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4737 NW 57TH PL, COCONUT CREEK, FL 33073-2309
(954) 895-8827
Mailing address
PO BOX 970609, COCONUT CREEK, FL 33097-0609
(954) 895-8827
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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