MEDICARE: MR. ANTHONY KIM DIEP RPVI

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	2085U0001X	Diagnostic Ultrasound Physician	121823	FL

General Provider Information

NPI Number	:	1558689950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ANTHONY KIM DIEP RPVI

Provider Business Mailing Address
First Line	:	7109 N. ARMENIA AVENUE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-5262
Country	:	US
Telephone Number	:	813-990-8500
Fax Number	:	813-990-8600

Provider Business Practice Location Address
First Line	:	7109 N. ARMENIA AVENUE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-5262
Country	:	US
Telephone Number	:	813-990-8500
Fax Number	:	813-990-8600

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

Provider Enumeration Date	:	05/10/2010
Last Update Date	:	01/11/2026

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