MEDICARE: DR. GREGORY F SARIC M.D., P.C

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	207QA0401X	Addiction Medicine (Family Medicine) Physician	XS3211810	FL
2	207QG0300X	Geriatric Medicine (Family Medicine) Physician	ME75719	FL
3	207Q00000X	Family Medicine Physician	ME75719	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	44848	OTHER	FL	BCBS
2	2817359	OTHER	FL	CIGNA
3	593580230	OTHER	FL	CHAMPUS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952330771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY F SARIC M.D., P.C

Provider Business Mailing Address
First Line	:	PO BOX 17175
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33682-7175
Country	:	US
Telephone Number	:	813-220-1400
Fax Number	:	813-252-3006

Provider Business Practice Location Address
First Line	:	10549 N FLORIDA AVE STE A
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-6707
Country	:	US
Telephone Number	:	813-220-1400
Fax Number	:	813-252-3006

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

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	02/06/2025

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Directions to “ DR. GREGORY F SARIC M.D., P.C” Practice Location

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