| Gisela Garcia- Leyva Md Pa | |
|
211 4th Ave N St Petersburg FL 33701-2911 | |
| (727) 823-8366 | |
| Not Available |
| Full Name | Gisela Garcia- Leyva Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 211 4th Ave N, St Petersburg, Florida |
| Authorized Official Name and Position | Gisela Garcia Leyva (PRESIDENT) |
| Authorized Official Contact | 7278235555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gisela Garcia- Leyva Md Pa 211 4th Ave N St Petersburg FL 33701-2911 Ph: (727) 823-8366 | Gisela Garcia- Leyva Md Pa 211 4th Ave N St Petersburg FL 33701-2911 Ph: (727) 823-8366 |
| NPI Number | 1972647634 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 11/13/2023 |
| Certification Date | 11/13/2023 |
| Medicare PECOS PAC ID | 5294916144 |
|---|---|
| Medicare Enrollment ID | O20110224000767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972647634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME0036410 (Florida) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| Provider Name | Gisela Garcia Leyva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871550509 PECOS PAC ID: 3476457037 Enrollment ID: I20110330000858 |
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