Individual
JAVIER A PINILLA-IBARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12902 USF MAGNOLIA DR, MRC 3 EAST RM 3056H, TAMPA, FL 33612-9416
(813) 745-4748
(813) 745-6817
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(813) 745-7365
(813) 449-8618
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME97234
FL
207RH0000X
Hematology (Internal Medicine) Physician
Primary
ME97234
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276825900
—
FL
01
—
68994
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/19/2006
Last updated
10/28/2025
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