DR. GEORGE R DAICOFF (NPI# 1033205356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033205356 |
| Entity Type | Individual |
| Full Name | DR. GEORGE R DAICOFF |
| Credential | MD |
| Practice Address |
4950 28th Ave N St Petersburg FL 33710-2742 |
| Practice Telephone | 7273221330 |
| Mailing Telephone | 7273221330 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
ME13566 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
4950 28TH AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33710-2742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
| 1821566845 | Harish J. Patel, Md | Non-Pharmacy Dispensing Site | 6449 38th Avenue North, Suite B3, Saint Petersburg, FL 33710 | 2018-11-07 |
| 1659860708 | Lydia M Gomez | Physical Therapist | 6775 Crosswinds Dr. N, Saint Petersburg, FL 33710 | 2018-05-04 |
| 1619498169 | Tiffiny C Rudkin | Massage Therapist | 3039 - 49th St. N., St. Petersburg, FL 33710 | 2017-07-05 |
| 1114456480 | Roberto Macedo Dentistry LLC | Dentist | 7801 38th Ave North, St. Petersburg, FL 33710 | 2017-06-08 |
| 1528429495 | Frank Michael Massotto Jr. | Nurse Practitioner | 3251 66th St. North, St Petersburg, FL 33710 | 2016-03-18 |
| 1235522889 | Toby Weinman Assisted Living Residence | Assisted Living Facility | 240 59th St N, St Petersburg, FL 33710 | 2015-03-06 |
| 1821415951 | Ryan Troup | Physician Assistant | 603 - 7th St. S, Suite 360, Emergency Physicians of Saint Petersburg, Saint Petersburg, FL 33710 | 2014-03-26 |
| 1629491600 | Garett Janes Sears | Psychologist | 1913 Tyrone Blvd, St. Petersburg, FL 33710 | 2014-01-28 |
| 1912331943 | Solimar Jimenez Diaz | Obstetrics & Gynecology | 6450 38th Ave N Ste 200, St Petersburg, FL 33710 | 2013-08-27 |
| Find all providers in zip 33710 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780746008 | Jeff Mathew | Surgery | 5880 49th St N Ste 206, St Petersburg, FL 33709-2147 | 2006-12-14 |
| 1619080793 | William Maurice Blackshear Jr. | Surgery | 7292 4th St N, Suite B, St Petersburg, FL 33702-5813 | 2006-08-16 |
| 1174173421 | Pinellas Vascular LLC | Surgery | 5880 49th St N Ste 206, St Petersburg, FL 33709-2147 | 2019-09-18 |
| 1427390608 | Vascular Interventional Pavilion, LLC | Surgery | 3500 38th Ave N, St Petersburg, FL 33713-1448 | 2013-03-26 |
| 1568731958 | William M Blackshear Jr Md Pa | Surgery | 7292 4th St N, Suite B, St Petersburg, FL 33702-5813 | 2011-12-14 |
| 1083904593 | Chun Kevin Yang | Surgery | 960 7th Ave N, St Petersburg, FL 33705-1347 | 2011-04-18 |
| 1871810655 | Benjamin Edward Szpila | Surgery | 960 7th Ave N, St Petersburg, FL 33705-1347 | 2010-05-03 |
| 1346219698 | Ralph Angelo Dematteis | Surgery | 2191 9th Ave N, Suite 110, St Petersburg, FL 33713-7146 | 2006-03-17 |
| 1962499715 | Paul Steven Collins | Surgery | 960 7th Ave N, St Petersburg, FL 33705-1347 | 2005-10-05 |
| 1013903244 | Eugene A Murphy | Surgery | 620 10th Street N., St Petersburg, FL 33705-1407 | 2005-09-22 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33710 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.