Individual
DR. KARL ARMISTEAD ILLIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 TAMPA GENERAL CIR, USF VASCULAR SURGERY STE.300, TAMPA, FL 33606-3603
(813) 259-0921
(813) 259-0606
Mailing address
PO BOX 917770, USF VASCULAR SURGERY, ORLANDO, FL 32891-7770
(813) 259-0921
(813) 259-0606
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME111162
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004120700
—
FL
01
—
14H55
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/19/2006
Last updated
05/01/2018
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