| Doctor Name: | ENID LEBRUN |
| NPI Number: | 1619399516 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | ALF LIC. # 8705 |
| Business Practice Address: | 1030 Balmy Beach Dr Apopka, FL - 327035902 |
| Business Phone Number: | 4077862242 |
| Business Fax Number: | 4077865739 |
| Mailing Address: | 1030 Balmy Beach Dr, APOPKA |
| State: | FL |
| Postal Code: | 327035902 |
| Phone Number: | 4077862242 |
| Fax Number: | 4077865739 |
| NPI Enumeration Date: | 01/10/2014 |
| NPI Last Update Date: | 01/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 376G00000X |
| License Number: | ALF LIC. # 8705 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Nursing Service Related Providers |
| Taxonomy Classification: | Nursing Home Administrator |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual, often licensed by the state, who is responsible for the management of a nursing home. |