Individual provider Active NPI

Leo Brazeau, PA

  • Physician Assistant
  • Spring Hill, FL
National Provider Identifier
1114912938
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1894 Issued in FL
Practice address
7056 Mariner Blvd
Spring Hill, FL 34609-1000
Phone
(352) 597-5557
Fax
(352) 597-0552
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1894 FL Primary

Addresses

Primary practice location

7056 Mariner Blvd
Spring Hill, FL 34609-1000

Mailing address

7056 Mariner Blvd
Spring Hill, FL 34609-1000
Phone (352) 597-5557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1894FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf View Walk in Clinic,Inc Past Accepting new patients
Baydock Emergency Physicians Past Accepting new patients
Haven Emergency Physicians Past Accepting new patients
Florida Em-I Medical Services PA Past Accepting new patients
Access Health Care LLC Past Accepting new patients
Osprey Emergency Physicians LLC Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114912938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7056 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346091000",
            "telephone_number": "352-597-5557",
            "fax_number": "352-597-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7056 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346091000",
            "telephone_number": "352-597-5557",
            "fax_number": "352-597-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZEAU",
        "first_name": "LEO",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA1894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.