Organization
LEONCIO TACSA CARRASCO MD PLLC
Active
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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