Organization
LEROY CHARLES MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA CHARLES (OFFICE MANAGER)
(561) 784-7014
Entity
Organization
Contact information
Practice address
12957 PALMS WEST DR, SUITE 102, LOXAHATCHEE, FL 33470-4932
(561) 784-7014
(561) 784-7922
Mailing address
12957 PALMS WEST DR, SUITE 102, LOXAHATCHEE, FL 33470-4932
(561) 784-7014
(561) 784-7922
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME83408
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265747300
—
FL
Enumeration date
03/20/2008
Last updated
03/20/2008
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