Organization
ERIC EGOZI MD PL
Active
Other names
Egozi Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE S SMITH (OFFICE MGR)
(727) 461-5872
Entity
Organization
Contact information
Practice address
1608 GULF TO BAY BLVD, CLEARWATER, FL 33755
(727) 461-5872
(727) 449-2486
Mailing address
1608 GULF TO BAY BLVD., CLEARWATER, FL 33755
(727) 461-5872
(727) 449-2486
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
ME93030
FL
2086S0105X
Surgery of the Hand (Surgery) Physician
ME93030
FL
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME93030
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40356
BCBS
FL
01
—
613486900
US DOL
FL
01
—
DS6582
RAILRAOD MEDICARE
FL
Enumeration date
06/24/2008
Last updated
05/05/2015
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