| Allison Miscik, MD | |
| 
					17 Davis Blvd, Tampa, FL 33606-3475  | |
| (813) 250-2261 | |
| Not Available | 
| Full Name | Allison Miscik | 
|---|---|
| Gender | Female | 
| Speciality | Surgery - Plastic And Reconstructive 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 | 
|---|---|---|---|
| 1730684341 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208200000X | Plastic Surgery | ME164514 (Florida) | Secondary | 
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | ME164514 (Florida) | Primary | 
| Entity Name | Baycare Medical Group, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718  | 
| Entity Name | Roderick M Urbaniak, M.d., P.a. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1942640719 PECOS PAC ID: 6507007366 Enrollment ID: O20130722000245  | 
| Entity Name | Premier Surgical Suites, Llc | 
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center | 
| Entity Identifiers | NPI Number: 1851006316 PECOS PAC ID: 3577922582 Enrollment ID: O20230710001362  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Allison Miscik, MD 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 Ph: (813) 250-2506  | Allison Miscik, MD 17 Davis Blvd, Tampa, FL 33606-3475 Ph: (813) 250-2261  | 
Dr. Michael Martin Wach, MD Surgery Medicare: Medicare Enrolled Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-2916  | |
Mr. Camilo Andres Trujillo, SURGICAL ASSISTANT Surgery Medicare: Not Enrolled in Medicare Practice Location: 7171 N Dale Mabry Hwy, Tampa, FL 33614 Phone: 813-932-2222  | |
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  |