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NPI Code Detail

MEDICARE: DR. MICHAEL DENNIS IRWIN M.D.

MEDICARE: DR. MICHAEL DENNIS IRWIN 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
1207QA0000XAdolescent Medicine (Family Medicine) PhysicianME117702FL
2207Q00000XFamily Medicine PhysicianME117702FL

Other Identifiers

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

General Provider Information

NPI Number : 1760446074
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL DENNIS IRWIN M.D.
Provider Business Mailing Address
First Line : PO BOX 82969
Second Line :
City : TAMPA
State : FL
Zip : 33682-2969
Country : US
Telephone Number : 813-284-4517
Fax Number :
Provider Business Practice Location Address
First Line : 6216 E SLIGH AVE
Second Line :
City : TAMPA
State : FL
Zip : 33617-9105
Country : US
Telephone Number : 813-397-5300
Fax Number : 813-738-9006
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2006
Last Update Date : 04/22/2023

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Directions to “ DR. MICHAEL DENNIS IRWIN M.D.” Practice Location

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