John Dietrick is a Surgery in Tampa, Florida. John Dietrick practices all healthcare services and medical treatments related to Surgery. The NPI Number for John Dietrick is 1124103528. The last update date is 2008-12-19.
John Dietrick's current location address is 3000 Medical Park Dr, Tampa, Florida. You can contact this provider via phone number 8139712470 and fax number 8139712491. The mailing address for John Dietrick is 3000 Medical Park Dr, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Dietrick |
|---|---|
| Address | 3000 Medical Park Dr, Tampa, Florida |
| Phone Number | 8139712470 |
| Fax Number | 8139712491 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1124103528 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2008-12-19 |
Provider Mailing Address Detail
| Address | 3000 Medical Park Dr |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336134680 |
| Phone Number | 8139712470 |
| Fax Number | 8139712491 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | ME88224 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 273011100 | FL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to John Dietrick by the Centers for Medicare & Medicaid Services?
The John Dietrick has been issued the NPI (National Provider Identifier) 1124103528. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of John Dietrick?
The John Dietrick is situated at 3000 Medical Park Dr, in the city of Tampa, state of FL, with the zip code 336134680.
What is John Dietrick's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Dietrick's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.
When did John Dietrick receive its 1124103528 assignment?
The John Dietrick was assigned its 1124103528 on 2006-10-25, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to John Dietrick most recently updated or revised?
The details related to John Dietrick, including its address, specialty, and other relevant information, were last updated or revised on 2008-12-19.