Gisela Garcia- Leyva Md Pa | |
211 4th Ave N St Petersburg FL 33701-2911 | |
(727) 823-8366 | |
Not Available |
Full Name | Gisela Garcia- Leyva Md Pa |
---|---|
Speciality | Psychiatry & Neurology |
Location | 211 4th Ave N, St Petersburg, Florida |
Authorized Official Name and Position | Gisela Garcia Leyva (PRESIDENT) |
Authorized Official Contact | 7278235555 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gisela Garcia- Leyva Md Pa 211 4th Ave N St Petersburg FL 33701-2911 Ph: (727) 823-8366 | Gisela Garcia- Leyva Md Pa 211 4th Ave N St Petersburg FL 33701-2911 Ph: (727) 823-8366 |
NPI Number | 1972647634 |
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Provider Enumeration Date | 02/16/2007 |
Last Update Date | 11/13/2023 |
Medicare PECOS PAC ID | 5294916144 |
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Medicare Enrollment ID | O20110224000767 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972647634 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | ME0036410 (Florida) | Primary |
Provider Name | Gisela Garcia Leyva |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1871550509 PECOS PAC ID: 3476457037 Enrollment ID: I20110330000858 |
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