Individual
DOUGLAS LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2815 1ST AVE N, ST PETERSBURG, FL 33713-8641
(727) 321-9614
Mailing address
2815 1ST AVE N, ST PETERSBURG, FL 33713-8641
(727) 321-9614
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME152751
FL
207R00000X
Internal Medicine Physician
TRN28108
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2019
Last updated
10/18/2022
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