Healthcare Provider Details

I. General information

NPI: 1659344463
Provider Name (Legal Business Name): DON E ESLIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2006
Last Update Date: 03/25/2022
Certification Date: 03/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 W DR MARTIN LUTHER KING JR BLVD FL 1
TAMPA FL
33607-6307
US

IV. Provider business mailing address

3001 W DR MLK BLVD
TAMPA FL
33607-6307
US

V. Phone/Fax

Practice location:
  • Phone: 813-321-6820
  • Fax: 813-287-6306
Mailing address:
  • Phone: 813-321-6820
  • Fax: 813-287-6306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License NumberME79652
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: