Provider Demographics
NPI:1912167743
Name:DRYER, JOSEPH G (DO)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:G
Last Name:DRYER
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:3980 TAMPA RD STE 206
Mailing Address - Street 2:
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-3223
Mailing Address - Country:US
Mailing Address - Phone:813-491-4006
Mailing Address - Fax:813-491-4007
Practice Address - Street 1:3980 TAMPA RD STE 206
Practice Address - Street 2:
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-3223
Practice Address - Country:US
Practice Address - Phone:813-491-4006
Practice Address - Fax:813-491-4007
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-16
Last Update Date:2021-01-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLOS11346207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14E8EOtherBCBS OF FLORIDA
FL003773900Medicaid
FL3331054OtherUNITED HEALTHCARE
FLP00950579OtherRAILROAD MEDICARE
FL2447068OtherCIGNA HEALTHCARE
FL1085610OtherCAREPLUS
FL2447068OtherCIGNA HEALTHCARE