Healthcare Provider Details

I. General information

NPI: 1548228679
Provider Name (Legal Business Name): DENISE Y ALVERANGA AND EUGENE A WARD MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 07/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3450 E FLETCHER AVE SUITE 310
TAMPA FL
33613
US

IV. Provider business mailing address

3450 E FLETCHER AVE SUITE 310
TAMPA FL
33613
US

V. Phone/Fax

Practice location:
  • Phone: 813-972-1654
  • Fax: 813-972-7176
Mailing address:
  • Phone: 813-972-1654
  • Fax: 813-972-7176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0008X
TaxonomyHepatology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. EUGENE A WARD
Title or Position: OWNER
Credential: MD
Phone: 813-972-1654