Provider Demographics
NPI:1699949909
Name:WRIST AND HAND CENTER P.A.
Entity type:Organization
Organization Name:WRIST AND HAND CENTER P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:RAYHACK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-879-7478
Mailing Address - Street 1:4728 N HABANA AVE
Mailing Address - Street 2:STE 204
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-7147
Mailing Address - Country:US
Mailing Address - Phone:813-879-7478
Mailing Address - Fax:
Practice Address - Street 1:4728 N HABANA AVE
Practice Address - Street 2:STE 204
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-7147
Practice Address - Country:US
Practice Address - Phone:813-879-7478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-17
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME34738207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0560100001Medicare NSC