Provider Demographics
NPI:1083866073
Name:LEGROS, CLAUDE MARIE-CHARLES (MD)
Entity Type:Individual
Prefix:MR
First Name:CLAUDE
Middle Name:MARIE-CHARLES
Last Name:LEGROS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34237
Mailing Address - Country:US
Mailing Address - Phone:941-861-4761
Mailing Address - Fax:941-861-4765
Practice Address - Street 1:2020 MAIN ST
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-6022
Practice Address - Country:US
Practice Address - Phone:941-861-4761
Practice Address - Fax:941-861-4765
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLACN-267174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist