Healthcare Provider Details

I. General information

NPI: 1437042629
Provider Name (Legal Business Name): RETINA CENTER TAMPA BAY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2025
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7515 STATE ROAD 52 STE 106
HUDSON FL
34667-6757
US

IV. Provider business mailing address

PO BOX 1155
DUNEDIN FL
34697-1155
US

V. Phone/Fax

Practice location:
  • Phone: 727-877-7710
  • Fax: 727-877-7709
Mailing address:
  • Phone: 727-877-7710
  • Fax: 727-877-7709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DANA M DUPREE
Title or Position: OWNER
Credential: MD
Phone: 727-877-7710