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NPI Code Detail

MEDICARE: SALVATORE MUSUMECI OD

MEDICARE: SALVATORE MUSUMECI OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOPC2248FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
120237OTHERFLBLUE CROSS BLUE SHIELD
24418042OTHERFLAETNA PROVIDER #
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003814088
Entity Type Code : Individual
Provider Name (Legal Business Name) : SALVATORE MUSUMECI OD
Provider Business Mailing Address
First Line : 9375 66TH ST N
Second Line :
City : PINELLAS PARK
State : FL
Zip : 33782-4418
Country : US
Telephone Number : 727-541-4469
Fax Number : 727-546-9661
Provider Business Practice Location Address
First Line : 7524 N HIMES AVE
Second Line :
City : TAMPA
State : FL
Zip : 33614-3205
Country : US
Telephone Number : 813-931-0500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 12/04/2025

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Directions to “ SALVATORE MUSUMECI OD” Practice Location

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