Tara Maya Barry, | |
17 Davis Blvd, Suite 308, Tampa, FL 33606-3475 | |
(813) 259-8510 | |
(813) 259-8660 |
Full Name | Tara Maya Barry |
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Gender | Female |
Speciality | Surgery |
Location | 17 Davis Blvd, 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 |
---|---|---|---|
1255793345 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | ME141643 (Florida) | Primary |
Entity Name | Knd Development 59 Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245569870 PECOS PAC ID: 3678602802 Enrollment ID: O20100908000056 |
Entity Name | Tampa General Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043557853 PECOS PAC ID: 7416253828 Enrollment ID: O20160310002525 |
Mailing Address | Practice Location Address |
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Tara Maya Barry, 17 Davis Blvd, Suite 308, Tampa, FL 33606-3475 Ph: (813) 250-2506 | Tara Maya Barry, 17 Davis Blvd, Suite 308, Tampa, FL 33606-3475 Ph: (813) 259-8510 |
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 |