Healthcare Provider Details

I. General information

NPI: 1518395185
Provider Name (Legal Business Name): TAMPA BAY ORTHOPAEDIC SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2013
Last Update Date: 10/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 66TH ST N
PINELLAS PARK FL
33781-5030
US

IV. Provider business mailing address

4683 CHABOT DR STE 200
PLEASANTON CA
94588-3829
US

V. Phone/Fax

Practice location:
  • Phone: 727-347-1286
  • Fax: 727-345-3084
Mailing address:
  • Phone: 925-621-2902
  • Fax: 925-269-8423

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME74919
License Number StateFL

VIII. Authorized Official

Name: DR. HOWARD W SHARF
Title or Position: OWNER
Credential: M.D.
Phone: 727-347-1286