Individual
MAYER FISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12902 USF MAGNOLIA DR, GU PROGRAM, TAMPA, FL 33612-9416
(813) 745-8343
(813) 745-8494
Mailing address
12902 USF MAGNOLIA DR, GU PROGRAM, TAMPA, FL 33612-9416
(813) 745-8343
(813) 745-8494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME74715
FL
207RX0202X
Medical Oncology Physician
Primary
ME74715
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258831500
—
FL
01
—
35334
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/13/2006
Last updated
10/03/2014
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