# VEIN SPECIALISTS OF TAMPA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245532316
- **Authorized official:** GARY HOWARD DWORKIN MD (OWNER)
- **Authorized official phone:** (813) 374-9002

## Contact information

- **Practice address:** 2835 W DE LEON ST, SUITE 206, TAMPA, FL 33609-4130
- **Practice address phone:** (813) 374-9002
- **Practice address fax:** (813) 374-9093
- **Mailing address:** 2835 W DE LEON ST STE 102, TAMPA, FL 33609-4130
- **Mailing address phone:** (813) 374-9002
- **Mailing address fax:** (813) 374-9093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | ME61044 | FL | Yes |

## Other

- **Enumeration date:** 11/23/2010
- **Last updated:** 11/03/2021