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General NPI Number Information
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NPI Number | 1730305954
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Entity Type | Organization
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Legal Business Name | GULF COAST RETINA SPECIALISTS PLLC
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 9375 66TH ST N
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City | PINELLAS PARK
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State | FL
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Zip | 33782-4418
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Country | US
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Telephone | 727-862-3090
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Fax | 727-862-3023
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Provider Business Mailing Address
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Address Line | 3015 N ROCKY POINT DR E UNIT 614
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City | TAMPA
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State | FL
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Zip | 33607-6090
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Country | US
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Telephone | 727-365-7376
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN AND OWNER
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Name | DR. JASON M HANDZA
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Credential | D.O.
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Telephone | 727-365-7376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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