Provider Demographics
NPI:1447266093
Name:SARRIA, JOSE E (MD)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:E
Last Name:SARRIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13801 BRUCE B DOWNS BLVD STE 406
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-3923
Mailing Address - Country:US
Mailing Address - Phone:813-444-0989
Mailing Address - Fax:863-248-8279
Practice Address - Street 1:13801 BRUCE B DOWNS BLVD STE 406
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-3923
Practice Address - Country:US
Practice Address - Phone:813-444-0989
Practice Address - Fax:863-248-8279
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME90336207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL272706400Medicaid
FL117897400Medicaid
FL16042OtherBLUE CROSS BLUE SHIELD
FL16042ZMedicare PIN