Individual
PIERRE M LEROUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8745 N WICKHAM RD, MELBOURNE, FL 32940-5997
(321) 434-9483
(321) 434-9482
Mailing address
1223 GATEWAY DR, MELBOURNE, FL 32901-2607
(321) 725-4500
(321) 951-7408
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
063486
GA
207Q00000X
Family Medicine Physician
ME100694
FL
208M00000X
Hospitalist Physician
Primary
ME100694
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000327400
—
FL
01
—
68136
BCBS
FL
Enumeration date
04/16/2007
Last updated
08/05/2014
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