Healthcare Provider Details

I. General information

NPI: 1255313425
Provider Name (Legal Business Name): TAMPA BAY ORTHOPAEDIC SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2005
Last Update Date: 12/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 66TH ST
PINELLAS PARK FL
33781-5030
US

IV. Provider business mailing address

6500 66TH ST
PINELLAS PARK FL
33781-5030
US

V. Phone/Fax

Practice location:
  • Phone: 727-347-1286
  • Fax: 727-345-3084
Mailing address:
  • Phone: 727-347-1286
  • Fax: 727-345-3084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HOWARD W SHARF
Title or Position: MANAGER
Credential: MEDICAL DOCTOR
Phone: 727-347-1286