Provider Demographics
NPI:1558301978
Name:POSAW, LEILA L (MD)
Entity Type:Individual
Prefix:DR
First Name:LEILA
Middle Name:L
Last Name:POSAW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LEILA
Other - Middle Name:LATIKA
Other - Last Name:POSAW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:200 CORPORATE BLVD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3870
Mailing Address - Country:US
Mailing Address - Phone:800-893-9698
Mailing Address - Fax:
Practice Address - Street 1:1611 N.W. 12TH AVENUE
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136
Practice Address - Country:US
Practice Address - Phone:305-585-6910
Practice Address - Fax:305-585-0000
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME76137207P00000X
FLME0076137207P00000X
IA40649207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2548610700Medicaid
FL2548610700Medicaid