MEDICARE: DR. WARI LAWRENCE WABARA 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
1	207XS0106X	Orthopaedic Hand Surgery Physician	ME97280	FL

General Provider Information

NPI Number	:	1740503176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WARI LAWRENCE WABARA MD

Provider Business Mailing Address
First Line	:	8347 OLD TOWN DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-3335
Country	:	US
Telephone Number	:	813-442-8337
Fax Number	:

Provider Business Practice Location Address
First Line	:	8347 OLD TOWN DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-3335
Country	:	US
Telephone Number	:	813-442-8337
Fax Number	:

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

Provider Enumeration Date	:	03/12/2010
Last Update Date	:	03/12/2010

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