MEDICARE: DR. MARIETTA ONGAY 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
1	207Q00000X	Family Medicine Physician	ACN996	FL
2	207Q00000X	Family Medicine Physician	36654	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427007145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIETTA ONGAY MD

Provider Business Mailing Address
First Line	:	601 S HARBOUR ISLAND BLVD STE 200
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-5925
Country	:	US
Telephone Number	:	727-322-3439
Fax Number	:	800-928-7449

Provider Business Practice Location Address
First Line	:	3100 17TH ST STE B
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34769-6021
Country	:	US
Telephone Number	:	407-908-7310
Fax Number	:	407-908-7824

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	09/22/2025

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