Individual
DR. ERIC ISAAC EGOZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1608 GULF TO BAY BLVD, CLEARWATER, FL 33755
(727) 461-5872
(727) 449-2486
Mailing address
1608 GULF TO BAY BLVD., CLEARWATER, FL 33755
(727) 461-5872
(727) 449-2486
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
ME93030
FL
2086S0105X
Surgery of the Hand (Surgery) Physician
ME93030
FL
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME93030
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276446600
—
FL
01
—
28794
BCBS
FL
01
—
613486900
US DEPT 0F LABOR
FL
Enumeration date
06/22/2006
Last updated
05/05/2015
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