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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
10111 W FOREST HILL BLVD, SUITE 231, WELLINGTON, FL 33414-6108
(561) 787-4701
(561) 784-7922
Mailing address
10111 W FOREST HILL BLVD, SUITE 231, WELLINGTON, FL 33414-6108
(561) 787-4701
(561) 784-7922

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME83408
FL

Other

Enumeration date
09/25/2007
Last updated
09/25/2007
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