| Organization Name: | LEROY CHARLES MD PA |
| NPI Number: | 1134596646 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEROY CHARLES (OWNER) |
| Mailing Address: | 4849 Lake Worth Rd Suite 201 Greenacres |
| State: | FL US |
| Postal Code: | 334633461 |
| Phone Number: | 5617847014 |
| Fax Number: | |
| NPI Enumeration Date: | 09/01/2015 |
| NPI Last Update Date: | 09/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | ME83408 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |