Provider Demographics
NPI:1407960073
Name:CUVA, PHILIP ANDREW (OD)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:ANDREW
Last Name:CUVA
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:11639 FOX CREEK DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33635-1509
Mailing Address - Country:US
Mailing Address - Phone:813-854-5955
Mailing Address - Fax:813-977-0660
Practice Address - Street 1:7522 N HIMES AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-3205
Practice Address - Country:US
Practice Address - Phone:813-931-0500
Practice Address - Fax:813-935-4055
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFL OPC 2966152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist