Healthcare Provider Details

I. General information

NPI: 1023727005
Provider Name (Legal Business Name): ESTHER TATOY MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2022
Last Update Date: 11/18/2022
Certification Date: 11/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27532 CASHFORD CIR STE 102
WESLEY CHAPEL FL
33544-6948
US

IV. Provider business mailing address

27532 CASHFORD CIR STE 102
WESLEY CHAPEL FL
33544-6948
US

V. Phone/Fax

Practice location:
  • Phone: 813-973-7076
  • Fax: 813-973-3901
Mailing address:
  • Phone: 813-973-7076
  • Fax: 813-973-3901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ESTHER LEIKA MOLINA TATOY
Title or Position: PHYSICAN/ OWNER
Credential: MD
Phone: 813-973-7076