Izzo, Edward G

Izzo, Edward G is an individual health care provider with primary practice located at 1901 Haverford Ave Ste 105, Sun City Center FL 33573-5200. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Izzo, Edward G can be contacted via phone (813) 258-4533.

Contact Information

Primary practice address
1901 Haverford Ave Ste 105 Sun City Center FL 33573-5200
Phone: (813) 258-4533
Fax: (813) 258-4733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME0060860 Florida
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X ME0060860 Florida
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME0060860 Florida

Profile Details

NPI number 1346245917
LBN Legal business name Izzo, Edward G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Nov 22nd, 2017 - about 7 years ago

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 1346245917 NPPES
Florida Other 2463923 AETNA
Florida MEDICAID 058349900 AETNA
Florida Other 14356 AETNA
Florida Other 330005522 AETNA
Florida Other ME0060860 AETNA
Florida Other 593689604 AETNA

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