MEDICARE: ALAN R LEROY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	ME36764	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942200837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN R LEROY MD

Provider Business Mailing Address
First Line	:	770 NORTHPOINT PARKWAY
Second Line	:	SUITE 102
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407
Country	:	US
Telephone Number	:	561-275-7604
Fax Number	:	561-802-5385

Provider Business Practice Location Address
First Line	:	927 45TH ST
Second Line	:	SUITE 303
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2450
Country	:	US
Telephone Number	:	561-881-5454
Fax Number	:	561-881-5559

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	09/25/2017

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Directions to “ ALAN R LEROY MD” Practice Location

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