| Mark E Kolligian, MD | |
| 4712 N Armenia Ave, Suite 200, Tampa, FL 33603-2611 | |
| (813) 874-7500 | |
| (813) 877-1397 | 
| Full Name | Mark E Kolligian | 
|---|---|
| Gender | Male | 
| Speciality | Urology - Pediatric Urology | 
| Location | 4712 N Armenia Ave, 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 | 
|---|---|---|---|
| 1407842701 | NPI | - | NPPES | 
| 2601800-00 | Medicaid | FL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2088P0231X | Urology - Pediatric Urology | ME 1001 (Florida) | Primary | 
| Entity Name | Childrens Urology Group Pl | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1194836239 PECOS PAC ID: 2668436270 Enrollment ID: O20041115000085 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mark E Kolligian, MD 4712 N Armenia Ave, Suite 200, Tampa, FL 33603-2611 Ph: (813) 874-7500 | Mark E Kolligian, MD 4712 N Armenia Ave, Suite 200, Tampa, FL 33603-2611 Ph: (813) 874-7500 | 
| Alberto Juan Duboy, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 12901 Bruce B Downs Blvd, Mdc 41, Tampa, FL 33612 Phone: 813-259-8581 Fax: 813-259-8507 | |
| Alexandra Maria-pilar Darien, MD Urology Medicare: Medicare Enrolled Practice Location: 2 Tampa General Cir # 6070, Tampa, FL 33606 Phone: 813-259-8801 | |
| Mohit Sirohi, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1 Davis Blvd., #604, Tampa, FL 33606 Phone: 813-258-9565 Fax: 813-258-3535 | |
| Alice Yu,  Urology Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-2226 Fax: 813-449-8618 | |
| Dr. Mohendra Gopal Biswas, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 6101 Webb Rd, Suite 203, Tampa, FL 33615 Phone: 813-884-4794 Fax: 813-882-0650 | |
| Dr. Jeffrey Bernard Starling, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5332 Primrose Lake Cir, Tampa, FL 33647 Phone: 813-558-9091 Fax: 813-866-3948 | |
| Dr. Fernando E. Coste-delvecchio, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2 Tampa General Cir, Stc 7th Floor, Tampa, FL 33606 Phone: 813-974-4115 |