Organization
VEIN SPECIALISTS OF TAMPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY HOWARD DWORKIN MD (OWNER)
(813) 374-9002
Entity
Organization
Contact information
Practice address
2835 W DE LEON ST, SUITE 206, TAMPA, FL 33609-4130
(813) 374-9002
(813) 374-9093
Mailing address
2835 W DE LEON ST STE 102, TAMPA, FL 33609-4130
(813) 374-9002
(813) 374-9093
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME61044
FL
Other
Enumeration date
11/23/2010
Last updated
11/03/2021
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