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Organization

WILLIAM M LETSON JR MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM MORTON LETSON JR. MD (PRESIDENT)
(941) 497-7700
Entity
Organization

Contact information

Practice address
1988 TAMIAMI TRL S, VENICE, FL 34293-5001
(941) 497-7700
(941) 493-3703
Mailing address
1988 TAMIAMI TRL S, VENICE, FL 34293-5001
(941) 497-7700
(941) 493-3703

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME49074
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11402
BCBS OF FL
FL
Enumeration date
10/10/2005
Last updated
08/22/2020
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