JUAN J EGAS


Address: 17807 Hunting Bow Cir, Lutz, FL 33558
Phone: 3525150025

JUAN J EGAS (NPI# 1063675478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063675478
Entity Type Individual
Full Name JUAN J EGAS
Other Name JUAN J EGAS VALENCIA
Credential MD
Practice Address 17807 Hunting Bow Cir
Lutz
FL 33558
Mailing Address 14690 Spring Hill Dr
Spring Hill
FL 34609-8102
Practice Telephone 3525150025
Practice Fax Number 3525150174
Mailing Telephone 3527990046
Mailing Fax Number 3526062857
Enumeration Date 2008-07-07
Last Update Date 2020-06-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
ME129841 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 020516600 05
FL BLUE CROSS BLUE SHIELD NFU5F 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
13141 Spring Hill Dr, Spring Hill, FL 346095016 3525150025 3525150174

Office Location

Street Address 17807 HUNTING BOW CIR
City LUTZ
State FL
Zip Code 33558

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801353792 Oral Maxillofacial and Implant Specialists, LLC Dentist 4675 Van Dyke Rd., Lutz, FL 33558 2019-02-27
1780175273 Elder Services of Central Florida, Inc Home Health 17901 Hunting Bow Cir Ste 101, Lutz, FL 33558 2018-05-21
1356843106 Physicial Medicine & Rehab Consultants Clinic/Center 18865 State Road 54 Ste 301, Lutz, FL 33558 2018-03-07
1376905851 Michelle Renee Story Contractor 20921 Haulover Cv. #f6, Lutz, FL 33558 2016-03-24
1992192223 Melissa Sonia Giblin Specialist/Technologist, Other 17535 Darby Ln, Lutz, FL 33558 2015-04-24
1396177739 Zoe Scripts Laboratory Services LLC Clinical Medical Laboratory 4969 Van Dyke Rd., Lutz, FL 33558 2013-08-08
1649617705 Suzanne Marie Newby Physician Assistant 16541 Pointe Village Dr Ste 209, Lutz, FL 33558 2013-05-30
1073889572 Julie J. Mckean, Lmhc, Ncc, LLC Counselor 4929 Van Dyke Road, Lutz, FL 33558 2012-03-29
1750524864 Sheetal Suryawanshi Dentist 17735 Hunting Bow Circle, Lutz, Florida, FL 33558 2009-04-20
1114080652 Adenike Christiana Gansallo Pharmacist 4102 Heritage Lake Ct, Lutz, FL 33558 2006-12-18
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Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development.

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1912460874 Lags Spine and Sportscare Medical Centers, Inc. Physical Medicine & Rehabilitation 5701 21st Ave W Ste 3, Bradenton, FL 34209-5605 2019-04-08
1508320342 Grigory Pogrebinsky Md Pa Physical Medicine & Rehabilitation 12450 Tamiami Trl S Unit E, North Port, FL 34287-1473 2019-01-25
1235611815 Peter Danger Molina Physical Medicine & Rehabilitation 1190 Nw 95th St Ste 200, Miami, FL 33150-2064 2018-08-30
1497246540 Restore Medical Partners Pllc Physical Medicine & Rehabilitation 333 Tamiami Trl S Ste 101, Venice, FL 34285-2425 2018-05-24
1568952240 South Florida Physical Medicine and Rehabilitation Center LLC Physical Medicine & Rehabilitation 1200 S Main St Ste 200, Belle Glade, FL 33430-7808 2018-05-17
1235641655 Boca Pain Care, Inc Physical Medicine & Rehabilitation 851 Meadows Rd Ste 213, Boca Raton, FL 33486-2348 2017-10-25
1558870477 Pain Control Solutions II LLC Physical Medicine & Rehabilitation 8323 Nw 12th Street, Suite 115, Miami, FL 33126 2017-09-22
1245759851 Chelsea Hakeem Physical Medicine & Rehabilitation 8936 77th Terrace East, Suit 101, Lakewood Ranch, FL 34202 2017-09-14
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Competitor

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City LUTZ
Zip Code 33558

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Dataset Information

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.

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