Active NPI
Leoncio Tacsa Carrasco MD PLLC
- Infectious Disease Physician
- St Petersburg, FL
National Provider Identifier
1780950212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- ME72300
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 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 DirectoryLocations
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.
-
- Physician Assistant
- St Petersburg, FL
- NPI 1740846575
-
- Hospitalist Physician
- Teaneck, NJ
- NPI 1598702276
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.