Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | OS9631 | FL |
NPI | 1013039874 |
---|---|
Provider Name | Dr. Todd Kenneth Letzring |
First Address | St Petersburg, FL 33704-3124 |
Second Address | St Petersburg, FL 33705-1300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2007 |
Last Update Date | 08/07/2007 |