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NPI Code Detail

MEDICARE: KEITH ERIC SOMMERS MD

MEDICARE: KEITH ERIC SOMMERS MD
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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianME74265FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
232184OTHERFLBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1093721623
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEITH ERIC SOMMERS MD
Provider Business Mailing Address
First Line : PO BOX 1289
Second Line :
City : TAMPA
State : FL
Zip : 33601-1289
Country : US
Telephone Number : 813-660-6950
Fax Number : 813-660-6622
Provider Business Practice Location Address
First Line : 5 TAMPA GENERAL CIR STE 860
Second Line :
City : TAMPA
State : FL
Zip : 33606-3573
Country : US
Telephone Number : 813-660-6950
Fax Number : 813-660-6622
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 06/09/2021

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Directions to “ KEITH ERIC SOMMERS MD” Practice Location

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