Active NPI
Leroy Charles MD PA
- Gynecology Physician
- Greenacres, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- ME83408
- Legal business name
- LEROY CHARLES MD PA
- Practice address
- 4849 Lake Worth Rd
Suite 201
Greenacres, FL 33463-3461 - Phone
- (561) 784-7014
- NPI assigned
- Sep 1, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leroy Charles, MD
- Title
- Owner
- Phone
- (561) 784-7014
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | ME83408 | FL | Primary |
Addresses
Primary practice location
4849 Lake Worth Rd
Suite 201
Greenacres, FL 33463-3461
Mailing address
4849 Lake Worth Rd
Suite 201
Greenacres, FL 33463-3461
Phone (561) 784-7014
National Provider Directory
National Provider Directory- Tax ID family
- Leroy Charles MD PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Gynecology Physician
- Wellington, FL
- NPI 1407043334
Locations
4849 Lake Worth Rd
Ste 201
Greenacres, FL 33463
Phone (561) 784-7014
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gynecology Physician
- Loxahatchee, FL
- NPI 1043284425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441065600000",
"number": "1134596646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4849 LAKE WORTH RD",
"address_2": "SUITE 201",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334633461",
"telephone_number": "561-784-7014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4849 LAKE WORTH RD",
"address_2": "SUITE 201",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334633461",
"telephone_number": "561-784-7014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEROY CHARLES MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-01",
"last_updated": "2015-09-01",
"status": "A",
"authorized_official_last_name": "CHARLES",
"authorized_official_first_name": "LEROY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-784-7014",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "FL",
"license": "ME83408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenacres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.