LEROY CHARLES MD PA
Medical Practice at Forest Hill Blvd, West Palm Beach, FL

License number
Florida ME83408
Category
Medical Practice
Type
Gynecology
Owner
Name: BARBARA CHARLES
Title: OFFICE MANAGER
Phone: (561) 784-7014
Address
Address
10111 W Forest Hill Blvd SUITE 231, West Palm Beach, FL 33414
National Provider ID: 1407043334
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Leroy Charles MD PA

Town of Loxahatchee Groves, FL  -  Lake Worth, FL  -  West Palm Beach, FL

Doing business as:
Leroy Charles, M.D., PA
Inactive reason:
REINSTATEMENT
Registration:
Nov 14, 2006
Inactive since:
May 2, 2011
Addresses:
12957 Palms West Dr, Town of Loxahatchee Groves, FL 33470
4849 Lk Worth Rd, Lake Worth, FL 33463
10111 Frst Hl Blvd, West Palm Beach, FL 33414
State ID:
P06000143493
Business type:
Florida Profit Corporation
Medical Assistants:
Marlon Groer (Office Manager),Barbara Charles (Office Manager),Ebelinda Lugo (Medical Assistant),...
Agent:
Charles, Leroy,4849 Lk Worth Rd SUITE 201, Lake Worth, FL 33463 (Physical)
EIN:
205924422

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