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NPI Code Detail

MEDICARE: MATTHEW LE CAA

MEDICARE: MATTHEW LE CAA
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
1367H00000XAnesthesiologist AssistantFL

General Provider Information

NPI Number : 1306787940
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW LE CAA
Provider Business Mailing Address
First Line : 2025 DUTCHESS LN
Second Line :
City : WINTER PARK
State : FL
Zip : 32792-7621
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 52 UNDERWOOD ST
Second Line :
City : ORLANDO
State : FL
Zip : 32806-1110
Country : US
Telephone Number : 407-650-5028
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ MATTHEW LE CAA” Practice Location

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