Individual
DR. IVAN JOSE SUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
602 S MACDILL AVENUE, TAMPA, FL 33609-4614
(813) 875-6373
(813) 876-0960
Mailing address
602 S MACDILL AVENUE, TAMPA, FL 33609-4614
(813) 875-6373
(813) 876-0960
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2005-01163
NC
207W00000X
Ophthalmology Physician
Primary
ME 64994
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16445
BCBS
FL
Enumeration date
09/24/2006
Last updated
04/01/2010
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