MEDICARE: DR. JEFFREY MARC GILFOR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	418150	PA
2	207L00000X	Anesthesiology Physician	ME116838	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023047677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY MARC GILFOR MD

Provider Business Mailing Address
First Line	:	10201 RADCLIFFE DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33626-2515
Country	:	US
Telephone Number	:	610-636-2268
Fax Number	:	813-265-5300

Provider Business Practice Location Address
First Line	:	11911 N DALE MABRY HWY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-3507
Country	:	US
Telephone Number	:	813-265-5300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	05/13/2019

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