Individual
DR. JAVIER NIEVES-COSTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4301 N HABANA AVE, TAMPA, FL 33607-6546
(813) 876-0951
(813) 443-8140
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
(727) 266-4943
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME112296
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2009
Last updated
07/12/2016
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