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NPI Code Detail

MEDICARE: ROGERIO I NEVES MD

MEDICARE:   ROGERIO I NEVES  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
1208200000XPlastic Surgery PhysicianME169429FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2109326OTHERPAMEDICARE PTAN

Other Identifiers

General Provider Information

NPI Number : 1548391980
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROGERIO I NEVES MD
Provider Business Mailing Address
First Line : PO BOX 198441
Second Line :
City : ATLANTA
State : GA
Zip : 30384-8441
Country : US
Telephone Number : 813-745-4673
Fax Number :
Provider Business Practice Location Address
First Line : 12902 USF MAGNOLIA DR
Second Line :
City : TAMPA
State : FL
Zip : 33612-9416
Country : US
Telephone Number : 813-745-4673
Fax Number : 813-449-6812
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 06/03/2026

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Directions to “ ROGERIO I NEVES MD” Practice Location

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