Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | ME16705 | FL |
N | 207YS0123X | Facial Plastic Surgeon | ME0016705 | FL |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | ME0016705 | FL |
NPI | 1184719973 |
---|---|
Provider Name | Dr. Dennis S Agliano |
First Address | Tampa, FL 33619-8327 |
Second Address | Tampa, FL 33603-1405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 03/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
035065100 | (05) | FL |
35605100 | (05) | FL |
D53743 | (02) | FL |