Individual
GARY HOWARD DWORKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2835 W DE LEON ST, SUITE 102, TAMPA, FL 33609-4130
(813) 374-9002
(813) 374-9093
Mailing address
2835 W DE LEON ST, SUITE 102, TAMPA, FL 33609-4130
(813) 374-9002
(813) 374-9093
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME61044
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0624644
AETNA
FL
01
—
134223953
HUMANA
FL
01
—
14685
BCBS
FL
01
—
1888411
CIGNA
FL
01
—
19867
STAYWELL
FL
01
—
210106
AVMED
FL
01
—
998783
UNITED
FL
Enumeration date
02/16/2006
Last updated
09/02/2015
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