Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Keila Thamar Tosado de Leon, MD

Individual provider Pediatrics Physician · NPI 1881843860

Dr. Keila Thamar Tosado de Leon, MD is a General Practice in Lakeland, Florida. Qualified in 2005, 21 years ago. Practices with Medical Home Alliance, LLC, a 63-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Puerto Rico.

Years since qualifying
21
Licensed in
FL, PR
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4729 US Highway 98 S Ste 201
Lakeland, FL 33812-4336
Phone: (863) 646-9663
Fax: (863) 646-9664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ACN483 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence ACN483 (FL)
General Practice Physician Taxonomy 208D00000X · Licence 17316 (PR)

Record details

NPI number1881843860
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 15, 2008
Last updated in NPPESJune 2, 2023
Certification dateJune 2, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Medical Home Alliance, Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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