Provider Demographics
NPI:1740503176
Name:WABARA, WARI LAWRENCE (MD)
Entity type:Individual
Prefix:DR
First Name:WARI
Middle Name:LAWRENCE
Last Name:WABARA
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 1:8347 OLD TOWN DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3335
Mailing Address - Country:US
Mailing Address - Phone:813-442-8337
Mailing Address - Fax:
Practice Address - Street 1:8347 OLD TOWN DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-3335
Practice Address - Country:US
Practice Address - Phone:813-442-8337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-12
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME97280207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery