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Individual

MICHAEL LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
(813) 558-6187
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
(813) 558-6187

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
182656
NC
207X00000X
Orthopaedic Surgery Physician
Primary
ME131508
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020422700
FL
01
JA326Z
MEDICARE
FL
01
ZTR9F
BCBS
FL
Enumeration date
06/13/2012
Last updated
07/21/2022
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