Individual
DR. JEFFREY ANDREW GAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 UNIVERSITY SQUARE DRIVE, RADIOLOGY ASSOCIATES OF TAMPA, TAMPA, FL 33612-5513
(813) 251-5822
Mailing address
2700 UNIVERSITY SQUARE DR, RADIOLOGY ASSOC OF TAMPA, TAMPA, FL 33612-5513
(813) 251-5822
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2006-00082
NC
2085R0202X
Diagnostic Radiology Physician
Primary
ME86205
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277158600
—
FL
01
—
P00428416
RR MEDICARE
FL
01
—
P00469020
RR MEDICARE
FL
01
—
P00470551
RR MEDICARE
FL
Enumeration date
09/13/2006
Last updated
03/07/2023
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