Individual
MYLES DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 N HABANA AVE STE 201, TAMPA, FL 33614-7117
(813) 513-3030
(885) 861-0819
Mailing address
401 E JACKSON ST STE 2340, TAMPA, FL 33602-5226
(813) 683-5044
(855) 861-0819
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
ME20607
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME20607
FL
Other
Enumeration date
09/09/2022
Last updated
06/24/2024
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