Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mallory Leblanc

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1497469282

Mallory Leblanc is a Physician Assistant in Plantation, Florida. Qualified in 2024, 2 years ago. Practices with Urgent Medical Center Inc, a 10-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

6931 W Broward Blvd
Plantation, FL 33317-2902
Phone: (954) 321-5191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 10000 Stirling Rd Ste 7, Hollywood, FL 33024-8067 — (954) 589-5169
  • 9600 Ne 2nd Ave, Miami Shores, FL 33138-2722 — (305) 603-7650

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 9119379 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1497469282
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 6, 2023
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024
Mailing address3200 S University Dr, Davie, FL 33328-2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Urgent Medical Center Inc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Plantation