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Contact Information

BRIAN IDA, DO
2025 INDIAN ROCKS RD
LARGO, FL33774
 Phone: 727-586-7103
 Fax: 727-585-7205
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for BRIAN IDA · (Male)

NPI Number 1811204647
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/31/2010
Last updated 02/23/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # UO2457
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL - (Acute Care)
    6000 49TH ST N
    SAINT PETERSBURG, FL 33709
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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