Individual
ROGERIO I NEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-2758
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
LT000631
PA
208200000X
Plastic Surgery Physician
MD432684
PA
208200000X
Plastic Surgery Physician
Primary
MFC1851
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019353700001
—
PA
01
—
109326
MEDICARE PTAN
PA
Enumeration date
03/08/2007
Last updated
12/09/2021
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