Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TAD ROBERT CONNINE, MD
Active Sole ProprietorDR. TAD ROBERT CONNINE, MD is a Adolescent Medicine healthcare provider located in LUTZ, Florida. NPI 1366750143 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · LUTZ, FL
Registration Details
- NPI Number
- 1366750143
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 15, 2010 (15.943743491255 yrs)
- Last Updated
- Mar 16, 2011
- License
-
ME107101 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
23546 STATE ROAD 54LUTZ, FL, 335596753Browse FL providers · Browse ZIP 33559
- Phone
- 8139907443
- Fax
- 8138647443
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.