Richard Lark Dicicco in Tampa - Surgery
Richard Lark Dicicco - NPI 1811989874
Richard Lark Dicicco is a Surgery in Tampa, Florida. Richard Lark Dicicco practices all healthcare services and medical treatments related to Surgery. The NPI Number for Richard Lark Dicicco is 1811989874. The last update date is 2022-01-14.
Richard Lark Dicicco's current location address is 508 S Habana Ave, Tampa, Florida. You can contact this provider via phone number 8138776000 and fax number 8138776002. The mailing address for Richard Lark Dicicco is 508 S Habana Ave, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Lark Dicicco |
|---|---|
| Address | 508 S Habana Ave, Tampa, Florida |
| Phone Number | 8138776000 |
| Fax Number | 8138776002 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1811989874 |
|---|---|
| Provider Enumeration Date | 2005-08-16 |
| Last Updated Date | 2022-01-14 |
Provider Mailing Address Detail
| Address | 508 S Habana Ave |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336094181 |
| Phone Number | 8138776000 |
| Fax Number | 8138776002 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | ME90737 |
|
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; |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 50968 | FL | BLUE CROSS BLUE SHIELD FL | |
| 7683574 | FL | AETNA HEALTHCARE | |
| 307206 | FL | AMERIGROUP |
Post Comment/ Review Below
What is the Richard Lark Dicicco's 1811989874?
The Richard Lark Dicicco's NPI (National Provider Identifier) Number is 1811989874. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Richard Lark Dicicco?
The Richard Lark Dicicco is physically situated at 508 S Habana Ave, in the city of Tampa, state of FL, with the postal code 336094181.
What is Richard Lark Dicicco's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Richard Lark Dicicco is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.
When did the Richard Lark Dicicco receive its 1811989874?
The Richard Lark Dicicco was issued its 1811989874 on 2005-08-16, which is the date when the organization was assigned this unique identifier.
When was the information regarding Richard Lark Dicicco most recently updated?
The details pertaining to the Richard Lark Dicicco, including its address, specialty, and other relevant information, were last refreshed on 2022-01-14.