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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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