Provider Demographics
NPI:1518395185
Name:TAMPA BAY ORTHOPAEDIC SPECIALISTS
Entity Type:Organization
Organization Name:TAMPA BAY ORTHOPAEDIC SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:W
Authorized Official - Last Name:SHARF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-347-1286
Mailing Address - Street 1:4683 CHABOT DR STE 200
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-3829
Mailing Address - Country:US
Mailing Address - Phone:925-621-2902
Mailing Address - Fax:925-269-8423
Practice Address - Street 1:6500 66TH ST N
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-5030
Practice Address - Country:US
Practice Address - Phone:727-347-1286
Practice Address - Fax:727-345-3084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-17
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME74919174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty