Provider Demographics
NPI:1275539199
Name:ESPIRITU, LEONCIO F (MD)
Entity Type:Individual
Prefix:DR
First Name:LEONCIO
Middle Name:F
Last Name:ESPIRITU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5305 GULF DR
Mailing Address - Street 2:STE 4
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-3960
Mailing Address - Country:US
Mailing Address - Phone:727-847-0848
Mailing Address - Fax:727-849-4876
Practice Address - Street 1:5305 GULF DR
Practice Address - Street 2:STE 4
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-3960
Practice Address - Country:US
Practice Address - Phone:727-847-0848
Practice Address - Fax:727-849-4876
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-24
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME42645208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL51199ZMedicare PIN
FLD56006Medicare UPIN