Individual
LEON BEAULIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
1613 N. HARRISON PARKWAY, SUITE 200, SUNRISE, FL 33323-2853
(954) 514-4793
(954) 851-1746
Mailing address
1613 NORTH HARRISON PARKWAY, SUITE 200, SUNRISE, FL 33323-2853
(954) 514-4793
(954) 851-1746
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA149
FL
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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