MEDICARE: DR. JOSEPH G DRYER DO

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	207R00000X	Internal Medicine Physician	OS11346	FL

General Provider Information

NPI Number	:	1912167743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH G DRYER DO

Provider Business Mailing Address
First Line	:	3980 TAMPA RD STE 206
Second Line	:
City	:	OLDSMAR
State	:	FL
Zip	:	34677-3223
Country	:	US
Telephone Number	:	813-491-4006
Fax Number	:	813-491-4007

Provider Business Practice Location Address
First Line	:	3980 TAMPA RD STE 206
Second Line	:
City	:	OLDSMAR
State	:	FL
Zip	:	34677-3223
Country	:	US
Telephone Number	:	813-491-4006
Fax Number	:	813-491-4007

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

Provider Enumeration Date	:	06/16/2008
Last Update Date	:	01/25/2021

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