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GASTROENTEROLOGY SPECIALISTS OF TAMPA BAY NPI 1790830800


NPI Information

NPI: 1790830800
Provider Name: GASTROENTEROLOGY SPECIALISTS OF TAMPA BAY
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
7171 N DALE MABRY HWY
SUITE 305
TAMPA, FL
ZIP 33614
Phone: (813) 930-8816
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GASTROENTEROLOGY SPECIALISTS OF TAMPA BAY is a specialist in Tampa, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GASTROENTEROLOGY SPECIALISTS OF TAMPA BAY NPI is 1790830800. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7171 N DALE MABRY HWY
SUITE 305
TAMPA, FL
ZIP 33614-630
Phone: (813) 930-8816
Fax: (813) 932-1856

The provider's authorized official is Yolanda Rosario .
The authorized official title is Office Supervisor and has the following contact phone number (813) 930-8816.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 6/24/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistME53996FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1275993401MEDICAIDFLORIDA
2275993400MEDICAIDFLORIDA
3275238700MEDICAIDFLORIDA
4K8613AMEDICARE PINFLORIDA
5K8613MEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE GROUP#

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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