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Individual

DR. GEORGE DOUGLAS LETSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-4292
(813) 449-8087
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(813) 745-4673

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0064409
FL
207X00000X
Orthopaedic Surgery Physician
Primary
ME0064409
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12167
BLUE CROSS BLUE SHIELD
FL
05
373191000
FL
Enumeration date
01/23/2006
Last updated
07/10/2026
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