Unknown Individual – Pediatric Urology Physician, NPI 1386630697
Pediatric Urology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
4712, North Armenia Avenue, Tampa, Hillsborough County, Florida, 33603, United States
SUITE 200
TAMPA, FL 336032611
Phone: (813) 874-7500
Fax: (813) 877-1397
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33603)
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