MEDICARE: DR. PHILIP ATIGRE 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	207R00000X	Internal Medicine Physician	ME104059	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7467743	OTHER	NY	AETNA/RCIPA
2	060308000064	OTHER	NY	FIDELIS
3	2020237150	OTHER	NY	BC/BS TRADITIONAL
4	000928785001	OTHER	NY	BC/BS WESTERN NEW YORK
5	P010237150	OTHER	NY	EXCELLUS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	0413105	OTHER	NY	INDEPENDENT HEALTH
8	180284BJ	OTHER	NY	PREFERRED CARE
9	00027393801	OTHER	NY	UNIVERA HEALTHCARE

General Provider Information

NPI Number	:	1871550483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILIP ATIGRE MD

Provider Business Mailing Address
First Line	:	5112 N HABANA AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-6873
Country	:	US
Telephone Number	:	813-374-2406
Fax Number	:	813-374-2407

Provider Business Practice Location Address
First Line	:	5112 N HABANA AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-6873
Country	:	US
Telephone Number	:	813-374-2406
Fax Number	:	813-374-2407

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

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	07/09/2025

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