Letson, George Douglas

Letson, George Douglas is an individual health care provider with primary practice located at 12902 Magnolia Dr Suite 5036, Tampa FL 33612-9416. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Letson, George Douglas can be contacted via phone (813) 745-3976.

Contact Information

Primary practice address
12902 Magnolia Dr Suite 5036 Tampa FL 33612-9416
Phone: (813) 745-3976
Fax: (813) 745-8337
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0064409 Florida

Profile Details

NPI number 1043280142
LBN Legal business name Letson, George Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043280142 NPPES
Florida MEDICAID 373191000
Florida Other 12167

Popular Providers