TAMPA BAY RETINA PA NPI 1518212760

NPI Information

NPI: 1518212760
Provider Name: TAMPA BAY RETINA, PA

Doing Business As: GULF COAST RETINA CENTER

Classification: Ophthalmology - 207WX0107X
Entity Type: Organization

Specialization: Retina Specialist

Address:
1961 FLOYD ST
SUITE B
SARASOTA, FL
ZIP 34239
Phone: (941) 312-2769
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TAMPA BAY RETINA, PA is a retina specialist ophthalmology in Sarasota, FL. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. TAMPA BAY RETINA, PA NPI is 1518212760. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gulf Coast Retina Center.

The provider's business location address is:

1961 FLOYD ST
SUITE B
SARASOTA, FL
ZIP 34239
Phone: (941) 312-2769
Fax: (941) 759-6476

The provider's authorized official is Oren Plous .
The authorized official title is President and has the following contact phone number (248) 790-5111.

The enumeration date for this NPI number is 7/13/2012 and was last updated on 7/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207WX0107X	Ophthalmology	Retina Specialist	ME97145	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	91135	OTHER	FLORIDA	BCBS OF FLORIDA
2	P01531788	OTHER	FLORIDA	PALMETTO GBA-RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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