Dwight Mark Achong, M.D.
Individual provider Active NPI Nuclear Imaging & Therapy Physician · Tampa, FL
NPI 1194797704 · NPPES record last updated Feb 8, 2012
Key facts
- NPI
- 1194797704
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nuclear Imaging & Therapy Physician 207UN0902X
- License
- ME81649 (FL)
- Practice address
- 13000 Bruce B Downs Blvd
Nuclear Medicine (115)
Tampa, FL 33612-4745 - Phone
- (813) 972-7538
- Fax
- (813) 978-5854
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME81649 | FL | MD | Nuclear Imaging & Therapy Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Imaging & Therapy Physician | 207UN0902X | ME81649 | FL | Yes |
Addresses
Primary practice location
13000 Bruce B Downs Blvd
Nuclear Medicine (115)
Tampa, FL 33612-4745
Mailing address
13000 Bruce B Downs Blvd
Nuclear Medicine (115)
Tampa, FL 33612-4745
Phone (813) 972-7538
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- Marjorie Lynn Acierno
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- Michael Ackerman-Pondexter
- Carly Marie Ackerman
All providers in Tampa, FL · Nuclear Imaging & Therapy Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.