Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | ME140275 | FL |
NPI | 1023451754 |
---|---|
Provider Name | Dr. Christopher Joseph Leto |
First Address | Tampa, FL 33619-8327 |
Second Address | Largo, FL 33770-3120 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2013 |
Last Update Date | 19/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103260200 | (05) | FL |
FL8302680 | DEA (01) | FL |
ME140275 | MEDICAL LICENSE (01) | FL |