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NPI 1922021542

NPI 1922021542 : ADAM LEROY M.D. : LAKEWOOD RANCH, FL

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General NPI Number Information
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    NPI Number           |    1922021542
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    Entity Type          |    Individual 
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    Provider Name        |    ADAM LEROY M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/25/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    8330 LAKEWOOD RANCH BLVD 
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    City                 |    LAKEWOOD RANCH
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    State                |    FL
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    Zip                  |    34202-5174
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    Country              |    US
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    Telephone            |    941-782-2200
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    12210 PORTSMOUTH TER 
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    City                 |    BRADENTON
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    State                |    FL
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    Zip                  |    34211-3458
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    Country              |    US
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    Telephone            |    305-519-6996
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    24160
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    License Number State |    OK
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