MEDICARE: ANDREW LETAYF M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP3000X	Pediatric Anesthesiology Physician	ME140361	FL
2	207L00000X	Anesthesiology Physician	ME140361	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316365695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW LETAYF M.D.

Provider Business Mailing Address
First Line	:	2918 GIN BERRY WAY
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-6363
Country	:	US
Telephone Number	:	207-409-5749
Fax Number	:

Provider Business Practice Location Address
First Line	:	2918 GIN BERRY WAY
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-6363
Country	:	US
Telephone Number	:	207-409-5749
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2014
Last Update Date	:	11/04/2025

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