MEDICARE: DR. DAROLD PHILLIP LETO D.C.

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	111N00000X	Chiropractor	105586	GA
2	111N00000X	Chiropractor	10044	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	:	1851463194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAROLD PHILLIP LETO D.C.

Provider Business Mailing Address
First Line	:	2832 STAPLES AVE.
Second Line	:
City	:	KEY WEST
State	:	FL
Zip	:	33040
Country	:	US
Telephone Number	:	305-394-1932
Fax Number	:	305-296-2668

Provider Business Practice Location Address
First Line	:	2780N ROOSEVELT BLVD
Second Line	:
City	:	KEY WEST
State	:	FL
Zip	:	33040-3930
Country	:	US
Telephone Number	:	305-394-1932
Fax Number	:

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

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	10/21/2015

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