DR. LEONCIO J TACSA-CARRASCO


Address: 1111 7th Ave N, Ste 107, St Petersburg, FL 33705-1348
Phone: 7278941661

DR. LEONCIO J TACSA-CARRASCO (NPI# 1598702276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598702276
Entity Type Individual
Full Name DR. LEONCIO J TACSA-CARRASCO
Other Name DR. LEONCIO J TACSA-CARRASCO
Credential MD
Practice Address 1111 7th Ave N
Ste 107
St Petersburg
FL 33705-1348
Practice Telephone 7278941661
Practice Fax Number 7278941430
Mailing Telephone 7278941661
Mailing Fax Number 7278941430
Enumeration Date 2006-06-01
Last Update Date 2012-03-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist ME72300 FL Other Service Providers
N 207R00000X Internal Medicine ME72300 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 5533503 05

Office Location

Street Address 1111 7TH AVE N
STE 107
City ST PETERSBURG
State FL
Zip Code 33705-1348

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275503179 Lynne Ellis Pediatrics 1111 7th Ave N, #103, St Petersburg, FL 33705-1348 2006-01-24
1740846575 Katelyn Victoria Hoagland Physician Assistant 1111 7th Ave N, St Petersburg, FL 33705-1348 2019-05-16
1780950212 Leoncio Tacsa Carrasco Md Pllc Internal Medicine 1111 7th Ave N, Ste 107, St Petersburg, FL 33705-1348 2012-03-29
1194994889 Cameron L Priesmeyer Nurse Practitioner 1111 7th Ave N, Ste 107, St Petersburg, FL 33705-1348 2008-02-27
1619989209 Lisa E Petitfils Pediatrics 1111 7th Ave N, St Petersburg, FL 33705-1348 2006-08-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154935781 Caressa Alice Slocum Psychologist 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 2020-09-01
1386133015 Angela Ann Little Social Worker 920 Country Club Way S, St Petersburg, FL 33705 2018-05-08
1497279483 Infinity Health Consultants, LLC. In Home Supportive Care 1001 27th Avenue South, St. Petersburg, FL 33705 2017-08-01
1801320528 Dedicated Senior Medical Center St. Petersburg, LLC. Non-Pharmacy Dispensing Site 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 2017-04-19
1790135762 Robin Dong Emergency Medicine 1095 5th Ave N, St. Petersburg, FL 33705 2016-06-20
1437550084 Community Health Center of Pinellas Inc Clinic/Center 612 Dr Martin L King St N, St Petersburg, FL 33705 2014-09-12
1164851754 Jennifer Carey Counselor 11 Mlk Jr St South, St. Petersburg, FL 33705 2013-11-05
1750623997 Dannaly Reyes Baerga Physical Medicine & Rehabilitation 1201 5th Ave N Ste 202, St Petersburg, FL 33705 2013-03-26
1518209055 Nii Sai Torto Emergency Medicine 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 2013-03-22
1790034635 Melissa White Kidwell Physical Therapist 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 2012-09-06
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134597826 Phillip Wood Jr. Specialist 5153 68th Ln N, St Petersburg, FL 33709-2865 2015-09-11
1194113340 Tampa Bay Diabetes, Thyroid, & Endocrinology Center, Pa Specialist 5775 5th Ave N, St Petersburg, FL 33710-7103 2014-12-22
1225448467 Peter Karempelis Specialist 601 5th St S Ste 701, St Petersburg, FL 33701-4804 2014-04-28
1932540416 Mallory Anne Ventsam Specialist 511 66th St N, St Petersburg, FL 33710-6939 2013-07-11
1407106552 Frederick Edward Swartz Specialist 5980 80th St N Unit 104, St Petersburg, FL 33709-1003 2012-09-17
1215232319 Donald B Morris M.d., P.a. Specialist 1111 7th Ave N Ste 101, St Petersburg, FL 33705-1348 2011-01-20
1346542966 Scott Daniel Heikka Specialist 2701 18th Ave N, St Petersburg, FL 33713-4935 2010-12-02
1295040541 Diane Lee Heron Specialist 105 5th Ave Ne, St Petersburg, FL 33701-3015 2010-08-11
1417274937 Freddie L Mcrae Md Pa Specialist 603 7th St S Ste 520, St Petersburg, FL 33701-4734 2010-04-23
1538485610 Beecum & Beecum Md Pa Specialist 7000 54th Ave N, St Petersburg, FL 33709-1304 2010-04-14
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Competitor

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City ST PETERSBURG
Zip Code 33705

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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