Provider Demographics
NPI:1295986842
Name:OVIEDO-BATT, GINA JOANNE (MD)
Entity type:Individual
Prefix:DR
First Name:GINA
Middle Name:JOANNE
Last Name:OVIEDO-BATT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GINA
Other - Middle Name:JOANNE
Other - Last Name:OVIEDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3505 W TACON ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-7928
Mailing Address - Country:US
Mailing Address - Phone:407-341-9927
Mailing Address - Fax:
Practice Address - Street 1:500 DR. MLK JR ST NORTH
Practice Address - Street 2:SUITE 303
Practice Address - City:ST. PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705
Practice Address - Country:US
Practice Address - Phone:727-825-1497
Practice Address - Fax:727-825-1435
Is Sole Proprietor?:No
Enumeration Date:2008-10-01
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME108995207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine