Leticia Llaurador Cardoso, MD
Individual provider Active NPI Family Medicine Physician · Palmetto, FL
NPI 1699356428 · NPPES record last updated Oct 17, 2024
Key facts
- NPI
- 1699356428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME159028 (FL)
- Practice address
- 5029 96TH St E
Palmetto, FL 34221-1318 - Phone
- (941) 226-1435
- Fax
- (941) 226-1437
- NPI assigned
- Apr 14, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baycare Medical Group, Inc.
Practice addresses (Care Compare)
2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060
5029 96TH St E
Palmetto, FL 34221-1318
Phone (941) 226-1435
Hospital & facility affiliations
- Baycare Home Care Inc
- St Josephs Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240906004116 | FL | Practitioner - Family Practice | 8527458785 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc | Family Medicine | Current |
Accepting new patients |
| Baycare Medical Group, Inc. | Family Medicine | Current |
Accepting new patients |
| Baycare Medical Group, Inc. | Family Medicine | Current |
Accepting new patients |
Locations
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
5029 96th St E
Palmetto, FL 34221
Phone (941) 226-1435
Interoperability endpoints
- leticia.cardosodonascimento@direct.mybaycare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | ME159028 | FL | Yes |
Addresses
Primary practice location
5029 96TH St E
Palmetto, FL 34221-1318
Mailing address
5029 96TH St E
Palmetto, FL 34221-1318
Phone (941) 226-1435
Other names
- Leticia Cardoso DO Nascimento
Other providers in Palmetto, FL
- Busy Life Nutrition LLC
- Sunghwan Byun
- Andrea Jenise Caines
- Bradee Campbell
- Can Community Health, Inc.
- Shirley Carley
- Elizabeth Carpenter
- Nicki Marie Casado
- Valentino Castro
- Sharon Causin
All providers in Palmetto, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.