| Leoncio Tacsa Carrasco Md Pllc | |
|
1111 7th Ave N Ste 107 St Petersburg FL 33705-1348 | |
| (727) 894-6703 | |
| (727) 894-1430 |
| Full Name | Leoncio Tacsa Carrasco Md Pllc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 1111 7th Ave N, St Petersburg, Florida |
| Authorized Official Name and Position | Leoncio Tacsa Carrasco (PHYSICIAN) |
| Authorized Official Contact | 7278946703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leoncio Tacsa Carrasco Md Pllc 1111 7th Ave N Ste 107 St Petersburg FL 33705-1348 Ph: (727) 894-6703 | Leoncio Tacsa Carrasco Md Pllc 1111 7th Ave N Ste 107 St Petersburg FL 33705-1348 Ph: (727) 894-6703 |
| NPI Number | 1780950212 |
|---|---|
| Provider Enumeration Date | 03/29/2012 |
| Last Update Date | 03/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780950212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | ME72300 (Florida) | Primary |
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