Doctor Name: | DR. GAETANO URSO |
NPI Number: | 1700829538 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | OS0001630 |
Business Practice Address: | 10866 Sheldon Rd Tampa, FL - 336265117 |
Business Phone Number: | 8139200746 |
Business Fax Number: | 8137745157 |
Mailing Address: | 10866 Sheldon Rd, TAMPA |
State: | FL |
Postal Code: | 336265117 |
Phone Number: | 8139200746 |
Fax Number: | 8137745157 |
NPI Enumeration Date: | 06/13/2006 |
NPI Last Update Date: | 03/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS0001630 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |