Organization
LEONCIO TACSA CARRASCO MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LEONCIO TACSA CARRASCO M.D. (PHYSICIAN)
(727) 894-6703
Entity
Organization
Contact information
Practice address
1111 7TH AVE N, STE 107, ST PETERSBURG, FL 33705-1348
(727) 894-6703
(727) 894-1430
Mailing address
1111 7TH AVE N, STE 107, ST PETERSBURG, FL 33705-1348
(727) 894-6703
(727) 894-1430
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME72300
FL
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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