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NPI Code Detail

MEDICARE: RODOLFO GARI M.D.

MEDICARE: RODOLFO GARI 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
1261QP3300XPain Clinic/Center036.133524IL
2261QP3300XPain Clinic/Center25MA09257000NJ
3261QP3300XPain Clinic/Center14695NV
4207LP2900XPain Medicine (Anesthesiology) PhysicianME0054890FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285697144
Entity Type Code : Individual
Provider Name (Legal Business Name) : RODOLFO GARI M.D.
Provider Business Mailing Address
First Line : 4730 N HABANA AVE
Second Line : 204
City : TAMPA
State : FL
Zip : 33614-7163
Country : US
Telephone Number : 813-549-2134
Fax Number : 813-549-2136
Provider Business Practice Location Address
First Line : 4730 N HABANA AVE STE 104
Second Line :
City : TAMPA
State : FL
Zip : 33614-7165
Country : US
Telephone Number : 813-549-2134
Fax Number : 813-549-2136
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2006
Last Update Date : 07/21/2022

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Directions to “ RODOLFO GARI M.D.” Practice Location

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