MEDICARE: DR. HOA V LE 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	207Q00000X	Family Medicine Physician	ME90612	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00144910	OTHER	FL	RAILROAD MEDICARE

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
2	03482	OTHER	FL	BC FL
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699769281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOA V LE M.D.

Provider Business Mailing Address
First Line	:	5800 49TH ST N
Second Line	:	SUITE S-204
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33709-2146
Country	:	US
Telephone Number	:	727-525-0239
Fax Number	:	727-525-0807

Provider Business Practice Location Address
First Line	:	5800 49TH ST N
Second Line	:	SUITE S-204
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33709-2146
Country	:	US
Telephone Number	:	727-525-0239
Fax Number	:	727-525-0807

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

Provider Enumeration Date	:	09/09/2005
Last Update Date	:	04/10/2014

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Directions to “ DR. HOA V LE M.D.” Practice Location

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