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Individual

DR. DAVID CARTHAGE BYRNES JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2810 W SAINT ISABEL ST, SUITE 201, TAMPA, FL 33607-6375
(813) 890-8004
(813) 290-9691
Mailing address
PO BOX 20065, TAMPA, FL 33622-0065
(813) 890-8004
(813) 290-9691

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME114343
FL
207RG0100X
Gastroenterology Physician
138791
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008090500
FL
01
ME114343
LICENSE NO
FL
01
P01151446
RR MEDICARE
FL
Enumeration date
05/31/2005
Last updated
11/03/2015
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