| Doctor Name: | MR. LEROY ANSELM MARKLUND |
| NPI Number: | 1417121633 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ARNP |
| License Number: | 2685 |
| Business Practice Address: | 7797 Nw 114th Path Medley, FL - 331781383 |
| Business Phone Number: | 3058070045 |
| Business Fax Number: | |
| Mailing Address: | 1800 Nw 10th Ave, Us Attc Suite T-215 MIAMI |
| State: | FL |
| Postal Code: | 331361018 |
| Phone Number: | 3055851852 |
| Fax Number: | |
| NPI Enumeration Date: | 04/18/2008 |
| NPI Last Update Date: | 04/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SA2100X |
| License Number: | 2685 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |