MEDICARE: JOSEPH W. AGUIAR MD. PA

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	208200000X	Plastic Surgery Physician

General Provider Information

NPI Number	:	1568400034
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSEPH W. AGUIAR MD. PA

Provider Business Mailing Address
First Line	:	8557 W LINEBAUGH AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33625-3731
Country	:	US
Telephone Number	:	813-749-2093
Fax Number	:

Provider Business Practice Location Address
First Line	:	8557 W LINEBAUGH AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33625-3731
Country	:	US
Telephone Number	:	813-749-2093
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOSEPH WELLS AGUIAR
Credential	:	M.D.
Telephone Number	:	813-749-2093

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	08/22/2020

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