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Contact Information

MARIANO R FIALLOS, MD
3100 E FLETCHER AVE
TAMPA, FL33613-4613
 Phone: 813-467-4242
 Fax: 813-467-4243
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
 

Hospitalist

208M00000X
 

Pediatric Critical Care Medicine

2080P0203X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MARIANO R FIALLOS · (Male)

NPI Number 1154498772
Status Active
Credentials MD
Entity Individual
Enumeration date 11/29/2006
Last updated 02/10/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME0061885
  • FL License # ME61885
  • FL Medicaid 254343500
  • FL Other 43953 BLUE CROSS
  • FL Other 11314867 CAQH
  • FL Other F09310 UPIN
Hospital affiliation(s) Not Available
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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