Individual provider · Type 1 NPI
Tad Robert Connine, MD
Adult Medicine Physician · Lutz, FL
NPI number
1366750143
Active
Practice location
23546 State Road 54
Lutz, FL 33559-6753
Fax (813) 864-7443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | ME107101 (FL) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Another provider at this address
About NPI 1366750143
Tad Robert Connine, MD's National Provider Identifier is 1366750143, issued on Sep 15, 2010. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Lutz, FL. The record was last updated on Mar 16, 2011.