# TAMPA BAY RETINA, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gulf Coast Retina Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518212760
- **Authorized official:** DR. OREN PLOUS MD (PRESIDENT)
- **Authorized official phone:** (248) 790-5111

## Contact information

- **Practice address:** 1961 FLOYD ST, SUITE B, SARASOTA, FL 34239
- **Practice address phone:** (941) 312-2769
- **Practice address fax:** (941) 759-6476
- **Mailing address:** 1961 FLOYD ST, SUITE B, SARASOTA, FL 34239-2931
- **Mailing address phone:** (941) 312-2769
- **Mailing address fax:** (866) 426-2169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | ME97145 | FL | Yes |

## Other

- **Enumeration date:** 07/13/2012
- **Last updated:** 07/14/2022