Christian Xavier Cruz Pico, MD | |
17416 Brookside Trace Ct, Tampa, FL 33647-6200 | |
(813) 660-6150 | |
(813) 660-6631 |
Full Name | Christian Xavier Cruz Pico |
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Gender | Male |
Speciality | Surgery |
Location | 17416 Brookside Trace Ct, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659514263 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | ME165474 (Florida) | Primary |
208600000X | Surgery | MD473302 (Pennsylvania) | Secondary |
Entity Name | Georgia Surgicare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508150509 PECOS PAC ID: 8325217714 Enrollment ID: O20110801000276 |
Mailing Address | Practice Location Address |
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Christian Xavier Cruz Pico, MD 17416 Brookside Trace Ct, Tampa, FL 33647-6200 Ph: (813) 660-6150 | Christian Xavier Cruz Pico, MD 17416 Brookside Trace Ct, Tampa, FL 33647-6200 Ph: (813) 660-6150 |
Thomas J Herron, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, Tampa, FL 33606 Phone: 813-844-7968 | |
Marco Antonio Rajo Andrade, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6919 N Dale Mabry Hwy Ste 200, Tampa, FL 33614 Phone: 813-933-3324 Fax: 813-932-4357 | |
Brad L Johnson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Tampa General Cir, Tampa, FL 33606 Phone: 813-974-2201 | |
Dr. Karl Armistead Illig, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2 Tampa General Cir, Usf Vascular Surgery Ste.300, Tampa, FL 33606 Phone: 813-259-0921 Fax: 813-259-0606 | |
Gavin R Davis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, J402, Tampa, FL 33606 Phone: 813-844-7412 | |
Emily Anne Devol, D.O Surgery Medicare: Medicare Enrolled Practice Location: 303 S Westland Ave, Tampa, FL 33606 Phone: 813-419-2506 | |
Jamie C Mitchell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5959 Webb Rd, Tampa, FL 33615 Phone: 813-972-0000 Fax: 888-481-1487 |