Irwin, Michael Dennis

Irwin, Michael Dennis is an individual health care provider with primary practice located at 6216 E Sligh Ave , Tampa FL 33617-9105. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Irwin, Michael Dennis can be contacted via phone (813) 397-5300.

Contact Information

Primary practice address
6216 E Sligh Ave Tampa FL 33617-9105
Phone: (813) 397-5300
Fax: (813) 738-9006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X ME117702 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME117702 Florida

Profile Details

NPI number 1760446074
LBN Legal business name Irwin, Michael Dennis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Apr 22nd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760446074 NPPES
Florida MEDICAID 015444200

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