Provider Demographics
NPI:1861709248
Name:BANKS, LETITIA J (DO)
Entity type:Individual
Prefix:DR
First Name:LETITIA
Middle Name:J
Last Name:BANKS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:LETITIA
Other - Middle Name:J
Other - Last Name:CARTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:7600 W SUNRISE BLVD
Mailing Address - Street 2:2ND FL - MAILSTOP PL-31
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-4113
Mailing Address - Country:US
Mailing Address - Phone:954-939-2371
Mailing Address - Fax:954-851-1746
Practice Address - Street 1:100 E CARROLL ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-5422
Practice Address - Country:US
Practice Address - Phone:410-543-7007
Practice Address - Fax:727-585-7205
Is Sole Proprietor?:No
Enumeration Date:2010-09-08
Last Update Date:2018-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLUO1952207L00000X
MDH76340207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology