Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | ME131060 | FL |
NPI | 1033288006 |
---|---|
Provider Name | Dr. Gregory Edmund Lebleu I |
First Address | Gulf Breeze, FL 32563-9314 |
Second Address | Gulf Breeze, FL 32563-9314 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 09/05/2017 |