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NPI Code Detail

MEDICARE: GEOFFREY M KWITKO MD

MEDICARE: GEOFFREY M KWITKO 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
1207W00000XOphthalmology Physician

General Provider Information

NPI Number : 1346630274
Entity Type Code : Organization
Provider Name (Legal Business Name) : GEOFFREY M KWITKO MD
Provider Business Mailing Address
First Line : 311 S MACDILL AVE
Second Line :
City : TAMPA
State : FL
Zip : 33609-3141
Country : US
Telephone Number : 813-877-8665
Fax Number : 813-877-9479
Provider Business Practice Location Address
First Line : 311 S MACDILL AVE
Second Line :
City : TAMPA
State : FL
Zip : 33609-3141
Country : US
Telephone Number : 813-877-8665
Fax Number : 813-877-9479
Authorized Official
Title or Position : OWNER/PHYSICIAN
Name : DR. GEOFFREY M KWITKO
Credential : M.D.
Telephone Number : 813-877-8665
Provider Enumeration Date : 01/30/2015
Last Update Date : 01/30/2015

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Directions to “GEOFFREY M KWITKO MD ” Practice Location

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