Organization
IZZO & ALKIRE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J ALKIRE MD (ASSOC MEDICAL DIRECTOR)
(813) 258-4533
Entity
Organization
Contact information
Practice address
5 TAMPA GENERAL CIR, SUITE 860, TAMPA, FL 33606-3601
(813) 258-4533
(813) 258-4733
Mailing address
5 TAMPA GENERAL CIR, SUITE 860, TAMPA, FL 33606-3601
(813) 258-4533
(813) 258-4733
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
—
FL
2086S0127X
Trauma Surgery Physician
—
FL
2086S0129X
Vascular Surgery Physician
FL
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187089
WELLCARE
FL
01
—
2463923
AETNA
FL
05
—
260851100
—
FL
01
—
45647
BX GROUP
FL
Enumeration date
05/21/2007
Last updated
08/18/2010
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