Search › Florida › 363A00000X
Justin Letourneau, PA-C
NPI 1861710923 · on the registry since 2010
Practice
- Address
- 5565 Dr Martin Luther King Jr St N
St Petersburg, FL 33703 - Phone
- (727) 577-1203
- Fax
- (727) 577-0893
- Organisation at this address
- Nancy J. Simons Ph.D.
Walter G Griffith Jr Md PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 5860 Ranch Lake Blvd, Bradenton, FL
- 16461 Domestic Ave, Fort Myers, FL
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
363A00000X - Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida