Wilfred Gray Idsten in Tampa - Emergency Medicine

Wilfred Gray Idsten - NPI 1740207547

Wilfred Gray Idsten is a Emergency Medicine in Tampa, Florida. Wilfred Gray Idsten practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Wilfred Gray Idsten is 1740207547. The last update date is 2008-02-21.

Wilfred Gray Idsten's current location address is 3001 W Dr Martin Luther King Jr Blvd, Tampa, Florida. You can contact this provider via phone number 8138704000. The mailing address for Wilfred Gray Idsten is 3001 W Dr Martin Luther King Jr Blvd, Tampa, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Wilfred Gray Idsten
Address 3001 W Dr Martin Luther King Jr Blvd, Tampa, Florida
Phone Number 8138704000
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1740207547
Provider Enumeration Date 2006-07-16
Last Updated Date 2008-02-21

Provider Mailing Address Detail

Address 3001 W Dr Martin Luther King Jr Blvd
City Tampa
State Florida (FL)
Post Code 336076307
Phone Number 8138704000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No ME46450
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
30847 FL BLUE CROSS OF FLORIDA

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FAQs about Wilfred Gray Idsten

What is the unique identification code assigned to Wilfred Gray Idsten by the Centers for Medicare & Medicaid Services?

The Wilfred Gray Idsten has been issued the NPI (National Provider Identifier) 1740207547. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Wilfred Gray Idsten is geographically located?

The Wilfred Gray Idsten is physically situated at the following location: 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL, 336076307.

What is Wilfred Gray Idsten's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Wilfred Gray Idsten is Emergency Medicine, and the taxonomy code that classifies this field of practice is 207P00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1740207547 to Wilfred Gray Idsten?

The Centers for Medicare & Medicaid Services originally issued the 1740207547 to Wilfred Gray Idsten on 2006-07-16.

When was the Wilfred Gray Idsten's information last updated?

The Wilfred Gray Idsten's information was last updated on 2008-02-21.

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