Provider Demographics
NPI:1649237942
Name:FIGLIOLA, DONALD F (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:F
Last Name:FIGLIOLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18956 N DALE MABRY HWY
Mailing Address - Street 2:STE 102
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33548-4915
Mailing Address - Country:US
Mailing Address - Phone:813-948-8597
Mailing Address - Fax:
Practice Address - Street 1:18956 N DALE MABRY HWY
Practice Address - Street 2:STE 102
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33548-4915
Practice Address - Country:US
Practice Address - Phone:813-948-8597
Practice Address - Fax:813-949-5919
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0054400207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
10378ZMedicare ID - Type Unspecified
E61633Medicare UPIN