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).
| 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 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 5533503 | 05 |
| Street Address |
1111 7TH AVE N STE 107 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33705-1348 |
| 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 |
| 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 |
| Find all providers in zip 33705 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| 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 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33705 |
Please comment or provide details below to improve the information on DR. LEONCIO J TACSA-CARRASCO.
| 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.