The peripheral blood cells and differential blood profile of captive female and male leopard grouper Mycteroperca rosacea are described for aquacultural purposes. Basophilic, polychromatic, and orthochromic erythroblasts were observed as immature erythrocytes that develop into mature erythrocytes. Young erythrocytes were not evident, and bi-lobed erythrocytes were extremely scarce. Types of leukocytes included lymphocytes; three types of granulocytes (basophiles, eosinophiles, and neutrophiles); monocytes; and a specialized amoeboid-like macrophage in the blood, which has not been previously described in fish-blood literature. Thrombocytes were commonly observed. There was significantly higher erythropoiesis in males. Granulocytes and lymphocytes of females were significantly higher than males, whereas monocytes and thrombocytes were not.