Basic Information
Provider Information
NPI: 1093768772
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BECSEY
FirstName: ATTILA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2 COLUMBIA DR
Address2: SUITE A327
City: TAMPA
State: FL
PostalCode: 336063508
CountryCode: US
TelephoneNumber: 8138444396
FaxNumber: 8138444972
Practice Location
Address1: 2 COLUMBIA DR
Address2: SUITE A327
City: TAMPA
State: FL
PostalCode: 336063508
CountryCode: US
TelephoneNumber: 8138444396
FaxNumber: 8138444972
Other Information
ProviderEnumerationDate: 05/17/2006
LastUpdateDate: 12/17/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/17/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XME77054FLN Allopathic & Osteopathic PhysiciansAnesthesiology 
207LC0200XME77054FLY Allopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine

ID Information
IDTypeStateIssuerDescription
3566401FLBCBSOTHER
P0016412401FLMEDICARE RAILROADOTHER
25917230005FL MEDICAID


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