Gus Joseph Leotta in West Palm Beach - Sports Medicine
Gus Joseph Leotta - NPI 1336220771
Gus Joseph Leotta is a Sports Medicine in West Palm Beach, Florida. Gus Joseph Leotta practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Gus Joseph Leotta is 1336220771. The last update date is 2022-02-04.
Gus Joseph Leotta's current location address is 4631 N Congress Ave Ste 203, West Palm Beach, Florida. You can contact this provider via phone number 5615301725 and fax number 5618635576. The mailing address for Gus Joseph Leotta is 4631 N Congress Ave Ste 203, West Palm Beach, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gus Joseph Leotta |
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Address | 4631 N Congress Ave Ste 203, West Palm Beach, Florida |
Phone Number | 5615301725 |
Fax Number | 5618635576 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1336220771 |
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Provider Enumeration Date | 2006-10-18 |
Last Updated Date | 2022-02-04 |
Provider Mailing Address Detail
Address | 4631 N Congress Ave Ste 203 |
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City | West Palm Beach |
State | Florida (FL) |
Post Code | 334073209 |
Phone Number | 5615301725 |
Fax Number | 5618635576 |
Provider's Primary Taxonomy Detail
Speciality | Sports Medicine |
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Taxonomy | 207Xx0005X |
Licence No | ME 106093 |
Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
51347 | GA | GEORGIA STATE LICENSE | |
AFE 73482 | CA | PHYSICIAN AND SURGEON | |
7381500 | FL | -- | |
ME 106093 | FL | MEDICAL BOARD OF FLORIDA |
Post Comment/ Review Below
What is the unique identification code assigned to Gus Joseph Leotta by the Centers for Medicare & Medicaid Services?
The Gus Joseph Leotta has been issued the NPI (National Provider Identifier) 1336220771. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Gus Joseph Leotta's physical address?
The Gus Joseph Leotta is physically located at 4631 N Congress Ave Ste 203, in the city of West Palm Beach, FL, with the postal code 334073209.
What is Gus Joseph Leotta's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gus Joseph Leotta is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Xx0005X.
On what date did the Gus Joseph Leotta receive its 1336220771 assignment from the Centers for Medicare & Medicaid Services?
The Gus Joseph Leotta was assigned its 1336220771 by the Centers for Medicare & Medicaid Services on 2006-10-18.
As of what date were the details pertaining to Gus Joseph Leotta last refreshed?
The information related to the Gus Joseph Leotta, including its address, specialty, and other relevant details, was last updated on 2022-02-04.