Individual
DR. KEILA THAMAR TOSADO DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4729 US HIGHWAY 98 S STE 201, LAKELAND, FL 33812-4336
(863) 646-9663
(863) 646-9664
Mailing address
6675 WESTWOOD BLVD STE 475, ORLANDO, FL 32821-6027
(407) 845-0330
(888) 972-1752
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ACN483
FL
208D00000X
General Practice Physician
17316
PR
208D00000X
General Practice Physician
Primary
ACN483
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACN483
MEDICINE DOCTOR LIC
FL
Enumeration date
09/15/2008
Last updated
06/02/2023
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