Individual provider Active NPI

Dat Le

  • Anesthesiology Physician
  • Panama City, FL
National Provider Identifier
1730092057
Registry record updated Sep 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
WDL4S8N3B23B Issued in WA
Practice address
3625 Frankford Ave Apt 4103
Panama City, FL 32405-1945
Phone
(813) 291-1331
NPI assigned
Sep 26, 2026
Last updated
Sep 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X WDL4S8N3B23B WA Primary

Addresses

Primary practice location

3625 Frankford Ave Apt 4103
Panama City, FL 32405-1945

Mailing address

3625 Frankford Ave Apt 4103
Panama City, FL 32405-1945
Phone (813) 291-1331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790380800000",
    "number": "1730092057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 FRANKFORD AVE APT 4103",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324051945",
            "telephone_number": "813-291-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 FRANKFORD AVE APT 4103",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324051945",
            "telephone_number": "813-291-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "DAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-26",
        "last_updated": "2026-09-26",
        "certification_date": "2026-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "WDL4S8N3B23B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.