Provider Demographics
NPI:1790962405
Name:LAFFER, DENNIS ROSS (MD)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:ROSS
Last Name:LAFFER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4902 EISENHOWER BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-6344
Mailing Address - Country:US
Mailing Address - Phone:813-636-2000
Mailing Address - Fax:813-870-6502
Practice Address - Street 1:4301 N HABANA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6546
Practice Address - Country:US
Practice Address - Phone:813-876-0951
Practice Address - Fax:813-870-6502
Is Sole Proprietor?:No
Enumeration Date:2008-01-24
Last Update Date:2015-09-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME38417207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL280433600Medicaid
FL280433600Medicaid