Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | OS9146 | FL |
NPI | 1134170038 |
---|---|
Provider Name | Dr. Robert Guirguis |
First Address | Tampa, FL 33603-1052 |
Second Address | Tampa, FL 33603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 06/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
272277100 | (05) | FL |
I28055 | (02) | FL |