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NPI Code Detail

MEDICARE: SAMUEL TARANTINO JR. M.D.

MEDICARE:   SAMUEL  TARANTINO JR. 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
1207VE0102XReproductive Endocrinology PhysicianME60187FL

General Provider Information

NPI Number : 1972598001
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMUEL TARANTINO JR. M.D.
Provider Business Mailing Address
First Line : 5245 E FLETCHER AVE
Second Line : SUITE 1
City : TAMPA
State : FL
Zip : 33617-1126
Country : US
Telephone Number : 813-914-7304
Fax Number : 813-676-8812
Provider Business Practice Location Address
First Line : 5245 E FLETCHER AVE
Second Line : SUITE 1
City : TAMPA
State : FL
Zip : 33617-1126
Country : US
Telephone Number : 813-914-7304
Fax Number : 813-676-8812
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2005
Last Update Date : 04/23/2015

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Directions to “ SAMUEL TARANTINO JR. M.D.” Practice Location

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