TAMPA BAY RETINA, PA; NPI #1518212760

Contact Information

TAMPA BAY RETINA, PA

1961 FLOYD ST
SUITE B
SARASOTA, FL 34239

Phone: 941-312-2769
Fax: 941-759-6476
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Retina Specialist	207WX0107X	18	Physician/Ophthalmology

Indicates primary specialty

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NPI Profile & details for TAMPA BAY RETINA, PA

NPI Number 1518212760

LBN Legal business name TAMPA BAY RETINA, PA

Authorized official OREN PLOUS - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/13/2012

Last updated 07/14/2022 - About 4 years ago

Identifiers

FL	License #	ME97145
FL	Other	91135	BCBS OF FLORIDA
FL	Other	P01531788	PALMETTO GBA-RAILROAD MEDICARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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TAMPA BAY RETINA, PA

Contact Information

Specialty

Retina Specialist

NPI Profile & details for TAMPA BAY RETINA, PA

Reviews for TAMPA BAY RETINA, PA