Provider Demographics
NPI:1760832828
Name:PODGORSKI III, EDWARD MARION III (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:MARION
Last Name:PODGORSKI III
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2727 W MLK BLVD STE 520
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6000
Mailing Address - Country:US
Mailing Address - Phone:813-538-7600
Mailing Address - Fax:813-538-7600
Practice Address - Street 1:2727 W MLK BLVD STE 520
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6000
Practice Address - Country:US
Practice Address - Phone:215-779-9999
Practice Address - Fax:564-524-6512
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-20
Last Update Date:2023-02-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA268113207R00000X
AZ63778208VP0014X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine