MEDICARE: GULF COAST RETINA SPECIALISTS PLLC

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	207WX0107X	Retina Specialist (Ophthalmology) Physician

General Provider Information

NPI Number	:	1730305954
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GULF COAST RETINA SPECIALISTS PLLC

Provider Business Mailing Address
First Line	:	3015 N ROCKY POINT DR E UNIT 614
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6090
Country	:	US
Telephone Number	:	727-365-7376
Fax Number	:

Provider Business Practice Location Address
First Line	:	9375 66TH ST N
Second Line	:
City	:	PINELLAS PARK
State	:	FL
Zip	:	33782-4418
Country	:	US
Telephone Number	:	727-862-3090
Fax Number	:	727-862-3023

Authorized Official
Title or Position	:	PHYSICIAN AND OWNER
Name	:	DR. JASON M HANDZA
Credential	:	D.O.
Telephone Number	:	727-365-7376

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	11/20/2025

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