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NPI Code Detail

MEDICARE: DR. PHILIP ANDREW CUVA OD

MEDICARE: DR. PHILIP ANDREW CUVA 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
1152W00000XOptometristFL OPC 2966FL

General Provider Information

NPI Number : 1407960073
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PHILIP ANDREW CUVA OD
Provider Business Mailing Address
First Line : 11639 FOX CREEK DR
Second Line :
City : TAMPA
State : FL
Zip : 33635-1509
Country : US
Telephone Number : 813-854-5955
Fax Number : 813-977-0660
Provider Business Practice Location Address
First Line : 7522 N HIMES AVE
Second Line :
City : TAMPA
State : FL
Zip : 33614-3205
Country : US
Telephone Number : 813-931-0500
Fax Number : 813-935-4055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2006
Last Update Date : 10/06/2014

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