Provider Demographics
NPI:1376874362
Name:Y & P HEALTHCARE LLC
Entity Type:Organization
Organization Name:Y & P HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PIERRE
Authorized Official - Middle Name:M
Authorized Official - Last Name:LEROUX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-625-1801
Mailing Address - Street 1:3524 TAMIAMI TRL
Mailing Address - Street 2:SUTIE 103
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-8100
Mailing Address - Country:US
Mailing Address - Phone:941-625-1801
Mailing Address - Fax:941-391-6796
Practice Address - Street 1:3524 TAMIAMI TRL
Practice Address - Street 2:SUTIE 103
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-8100
Practice Address - Country:US
Practice Address - Phone:941-625-1801
Practice Address - Fax:941-391-6796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-15
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME100694207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000N8OtherBCBS
FLCT161Medicare PIN