Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | ME23773 | FL |
NPI | 1023011335 |
---|---|
Provider Name | Dr. Anthony M Messina |
First Address | Tampa, FL 33607-6355 |
Second Address | Tampa, FL 33607-6355 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2005 |
Last Update Date | 14/09/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D58159 | (02) | FL |