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NPI Code Detail

MEDICARE: DR. PETER ARTHUR JARVIS M.D.

MEDICARE:  DR. PETER ARTHUR JARVIS  M.D.
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
1208600000XSurgery Physician19346CT

General Provider Information

NPI Number : 1174519946
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER ARTHUR JARVIS M.D.
Provider Business Mailing Address
First Line : PO BOX 21724
Second Line :
City : TAMPA
State : FL
Zip : 33622-1724
Country : US
Telephone Number : 813-343-5500
Fax Number : 813-343-5506
Provider Business Practice Location Address
First Line : 12880 COMMODITY PL
Second Line :
City : TAMPA
State : FL
Zip : 33626-3101
Country : US
Telephone Number : 813-343-5500
Fax Number : 813-343-5506
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2005
Last Update Date : 10/14/2009

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Directions to “ DR. PETER ARTHUR JARVIS M.D.” Practice Location

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