Individual provider Active NPI

Nina Le, DO

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1699367599
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS20835 Issued in FL
Practice address
15255 Max Leggett Pkwy
Jacksonville, FL 32218-7273
Phone
(404) 988-1503
NPI assigned
Feb 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS20835 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

15255 Max Leggett Pkwy
Jacksonville, FL 32218-7273

Mailing address

15255 Max Leggett Pkwy
Jacksonville, FL 32218-7273
Phone (404) 988-1503

Other practice location 1

743 Spring St NE Ste 710
Gainesville, GA 30501-3715
Phone (770) 219-8730

Other practice location 2

665 Duluth Hwy Ste 401
Lawrenceville, GA 30046-4303
Phone (404) 988-1503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241107003239 FL Practitioner - Internal Medicine 2769883750 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Physicians of Florida VI LLCGroup PAC ID 1759802333, 141 clinicians

Practice addresses (Care Compare)

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 771-8000

Hospital & facility affiliations

  • Shands Jacksonville Hospital, Jacksonville, FL, CCN 100001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine Current Accepting new patients
Sound Physicians of Florida VI LLC Internal Medicine CurrentSince Feb 1, 2025 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Sep 2, 2024 Accepting new patients
Florida Rehab Specialists, PLLC Internal Medicine CurrentSince Sep 3, 2025 Accepting new patients
Islf-Deerwood Place-Jacksonville LLC Past Accepting new patients

Locations (25 of 96)

1130 NW 15th St
Boca Raton, FL 33486
Phone (561) 394-6282

7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111

1445 Howell Ave
Brooksville, FL 34601
Phone (352) 799-1451

10845 W Gem St
Crystal River, FL 34428
Phone (352) 794-7601

22900 Lyden Dr
Estero, FL 33928
Phone (239) 221-6120

227 SW 62nd Blvd
Gainesville, FL 32607
Phone (352) 331-0601

4607 NW 53rd Ave
Gainesville, FL 32653
Phone (352) 376-5151

6700 NW 10th Pl
Gainesville, FL 32605
Phone (352) 240-6402

1000 SW 16th Ave
Gainesville, FL 32601
Phone (352) 376-2461

817 NW 56th Ter
Ste B
Gainesville, FL 32605
Phone (352) 331-7771

1415 Fort Clarke Blvd
Gainesville, FL 32606
Phone (352) 325-3081

4000 SW 20th Ave
Gainesville, FL 32607
Phone (352) 377-1981

4842 SW Archer Rd
Gainesville, FL 32608
Phone (352) 367-9700

8000 NW 27th Blvd
Gainesville, FL 32606
Phone (352) 373-4032

3250 SW 41st Pl
Gainesville, FL 32608
Phone (352) 378-1558

6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180

124 W Norvell Bryant Hwy
Hernando, FL 34442
Phone (352) 249-3100

23301 NW 186th Ave
High Springs, FL 32643
Phone (386) 454-0801

8985 S Suncoast Blvd
Homosassa, FL 34446
Phone (352) 697-0705

701 Medical Ct E
Inverness, FL 34452
Phone (352) 860-0200

1745 Forest Dr
Inverness, FL 34453
Phone (352) 726-5466

5725 Spring Park Rd
Jacksonville, FL 32216
Phone (904) 302-6160

15255 Max Leggett Pkwy
Jacksonville, FL 32218
Phone (904) 383-1000

12645 Salina Dr
Jacksonville, FL 32246
Phone (904) 787-8150

2802 Parental Home Rd
Jacksonville, FL 32216
Phone (904) 721-0088

Interoperability endpoints

  • Direct secure messaging: nle728647@direct.shands.ufl.edu

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1699367599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15255 MAX LEGGETT PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187273",
            "telephone_number": "404-988-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15255 MAX LEGGETT PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187273",
            "telephone_number": "404-988-1503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "743 Spring St NE Ste 710",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013715",
            "country_code": "US",
            "telephone_number": "770-219-8730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "665 Duluth Hwy Ste 401",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300464303",
            "country_code": "US",
            "telephone_number": "404-988-1503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "NINA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS20835",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.