Provider Demographics
NPI:1275786865
Name:KARLA LEDOUX-COTON NEUROLOGY PA
Entity Type:Organization
Organization Name:KARLA LEDOUX-COTON NEUROLOGY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:LEDOUX-COTON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:813-873-8969
Mailing Address - Street 1:2901 W SAINT ISABEL ST
Mailing Address - Street 2:SUITE A2
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6371
Mailing Address - Country:US
Mailing Address - Phone:813-873-8969
Mailing Address - Fax:813-873-8905
Practice Address - Street 1:2901 W SAINT ISABEL ST
Practice Address - Street 2:SUITE A2
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6371
Practice Address - Country:US
Practice Address - Phone:813-873-8969
Practice Address - Fax:813-873-8905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS66542084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG27208Medicare UPIN