Individual
BAUDOUIN LECLERCQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2810 W SAINT ISABEL ST STE 102, TAMPA, FL 33607-6375
(813) 872-8480
(813) 872-8579
Mailing address
2810 W SAINT ISABEL ST STE 102, TAMPA, FL 33607-6375
(813) 872-8480
(813) 872-8579
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME81654
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260633000
—
FL
01
—
CD4677
RRMC (GRP)
FL
01
—
P00150829
RRMC (IND)
FL
Enumeration date
07/14/2005
Last updated
01/02/2019
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