MR. LEROY GEORGE IVEY


Address: 4021 San Marino Blvd, Apt 308, West Palm Beach, FL 33409-8622
Phone: 9548015042

MR. LEROY GEORGE IVEY (NPI# 1346791522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346791522
Entity Type Individual
Full Name MR. LEROY GEORGE IVEY
Practice Address 4021 San Marino Blvd
Apt 308
West Palm Beach
FL 33409-8622
Practice Telephone 9548015042
Mailing Telephone 9548015042
Enumeration Date 2016-10-22
Last Update Date 2016-10-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
ARNP9319759 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4021 SAN MARINO BLVD
APT 308
City WEST PALM BEACH
State FL
Zip Code 33409-8622

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1558978023 Dalia Magdalena Secin Santana Nurse Practitioner 940 Green St, West Palm Beach, FL 33405-3002 2020-09-28
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Competitor

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City WEST PALM BEACH
Zip Code 33409

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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