Todd David Ikenberry in Bay Pines - Surgical

Todd David Ikenberry - NPI 1760649982

Todd David Ikenberry is a Surgical in Bay Pines, Florida. Todd David Ikenberry practices all healthcare services and medical treatments related to Surgical. The NPI Number for Todd David Ikenberry is 1760649982. The last update date is 2013-03-29.

Todd David Ikenberry's current location address is 10000 Bay Pines Blvd, Bay Pines, Florida. You can contact this provider via phone number 7273986661. The mailing address for Todd David Ikenberry is 10000 Bay Pines Blvd, Bay Pines, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Todd David Ikenberry
Address 10000 Bay Pines Blvd, Bay Pines, Florida
Phone Number 7273986661
Fax Number
Sole Proprietor N
Credentials P.A.-C

NPI Number Detail

NPI Number 1760649982
Provider Enumeration Date 2008-05-16
Last Updated Date 2013-03-29

Provider Mailing Address Detail

Address 10000 Bay Pines Blvd
City Bay Pines
State Florida (FL)
Post Code 337448200
Phone Number 7273986661
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No 11911
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

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FAQs about Todd David Ikenberry

What is the unique 10-digit identifier code assigned to Todd David Ikenberry by the Centers for Medicare & Medicaid Services?

The Todd David Ikenberry has been issued the NPI (National Provider Identifier) 1760649982 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Todd David Ikenberry's facilities are situated?

The facilities of Todd David Ikenberry are physically located at the following address: 10000 Bay Pines Blvd, Bay Pines, FL, 337448200.

What is the Todd David Ikenberry's area of specialization and corresponding taxonomy classification?

The Todd David Ikenberry's specialty field is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their specialties.

On what date did Todd David Ikenberry receive its 1760649982 assignment from the Centers for Medicare & Medicaid Services?

The Todd David Ikenberry was assigned its 1760649982 on 2008-05-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Todd David Ikenberry most recently updated or revised?

The details related to Todd David Ikenberry, including its address, specialty, and other relevant information, were last updated or revised on 2013-03-29.

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