MEDICARE: JOSEPH DITURI PHD(C), CHT

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	246ZB0301X	Biomedical Engineer	00010	FL
2	156F00000X	Technician/Technologist	00010	FL

General Provider Information

NPI Number	:	1538688981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH DITURI PHD(C), CHT

Provider Business Mailing Address
First Line	:	701 N WEST SHORE BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-1122
Country	:	US
Telephone Number	:	813-533-7095
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 N WEST SHORE BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-1122
Country	:	US
Telephone Number	:	813-533-7095
Fax Number	:

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

Provider Enumeration Date	:	09/18/2017
Last Update Date	:	09/18/2017

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