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Individual

PATRICIA A. LEBRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1130 HICKORY ST STE B, MELBOURNE, FL 32901
(321) 752-0944
(321) 434-7590
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 752-0944
(321) 951-7408

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN9188098
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9188098
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
308766200
FL
01
AI841O
QSS SOUTHEAST CLINICAL SERVICES PTAN
FL
01
AI841P
MEDICARE
FL
Enumeration date
08/31/2006
Last updated
09/03/2025
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