Dr Karl Armistead Illig, MD | |
2 Tampa General Cir, Usf Vascular Surgery Ste.300, Tampa, FL 33606-3603 | |
(813) 259-0921 | |
(813) 259-0606 |
Full Name | Dr Karl Armistead Illig |
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Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 2 Tampa General Cir, 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 |
---|---|---|---|
1023053303 | NPI | - | NPPES |
14H55 | Other | FL | BLUE CROSS BLUE SHIELD |
004120700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | ME111162 (Florida) | Primary |
Entity Name | The Regional Medical Center Of Orangeburg And Calhoun Counties |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003889676 PECOS PAC ID: 8527970771 Enrollment ID: O20040506001434 |
Mailing Address | Practice Location Address |
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Dr Karl Armistead Illig, MD Po Box 917770, Usf Vascular Surgery, Orlando, FL 32891-7770 Ph: (813) 259-0921 | Dr Karl Armistead Illig, MD 2 Tampa General Cir, Usf Vascular Surgery Ste.300, Tampa, FL 33606-3603 Ph: (813) 259-0921 |
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 | |
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 |