Healthcare Provider Details

I. General information

NPI: 1942344312
Provider Name (Legal Business Name): JON E. FINAN MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2007
Last Update Date: 09/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5731 HOOVER BLVD
TAMPA FL
33634-3340
US

IV. Provider business mailing address

5731 HOOVER BLVD
TAMPA FL
33634-3340
US

V. Phone/Fax

Practice location:
  • Phone: 813-886-8334
  • Fax: 813-886-8302
Mailing address:
  • Phone: 813-886-8334
  • Fax: 813-886-8302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License NumberD006806
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License NumberME103941
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberD0066806
License Number StateMD
# 4
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberME103941
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: