Individual
LEONARDO PAIM NICOLAU DA COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-7604
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
TRN38925
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME172471
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
TRN38925
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125950600
—
FL
01
—
LWN4J
BCBS
FL
Enumeration date
11/03/2023
Last updated
11/05/2025
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