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NPI Profile for TAMPA BAY RETINA PA in SARASOTA, FL.
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Retina Specialist |
207WX0107X | 18 | Physician/Ophthalmology |
| NPI # | 1518212760 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/13/2012 | |
| Last updated | 07/14/2022 - About 4 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TAMPA BAY RETINA, PA
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TAMPA BAY RETINA, PA