Organization Active NPI

Leoncio Tacsa Carrasco MD PLLC

  • Infectious Disease Physician
  • St Petersburg, FL
National Provider Identifier
1780950212
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME72300 Issued in FL
Legal business name
LEONCIO TACSA CARRASCO MD PLLC
Practice address
1111 7TH Ave N
Ste 107
St Petersburg, FL 33705-1348
Phone
(727) 894-6703
Fax
(727) 894-1430
NPI assigned
Mar 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Authorized official

Name
Miss Leoncio Tacsa Carrasco, M.D.
Title
Physician
Phone
(727) 894-6703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0200X ME72300 FL Primary

Addresses

Primary practice location

1111 7TH Ave N
Ste 107
St Petersburg, FL 33705-1348

Mailing address

1111 7TH Ave N
Ste 107
St Petersburg, FL 33705-1348
Phone (727) 894-6703

National Provider Directory

National Provider Directory

Locations

1111 7th Ave N
St Petersburg, FL 33705
Phone (727) 822-5393

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1780950212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 7TH AVE N",
            "address_2": "STE 107",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051348",
            "telephone_number": "727-894-6703",
            "fax_number": "727-894-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 7TH AVE N",
            "address_2": "STE 107",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051348",
            "telephone_number": "727-894-6703",
            "fax_number": "727-894-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONCIO TACSA CARRASCO MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "TACSA CARRASCO",
        "authorized_official_first_name": "LEONCIO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "727-894-6703",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME72300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.