Provider Demographics
NPI:1902884299
Name:AGUIAR, JOSEPH WELLS (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:WELLS
Last Name:AGUIAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12015 WHITMARSH LN
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-1737
Mailing Address - Country:US
Mailing Address - Phone:813-658-3600
Mailing Address - Fax:813-739-0917
Practice Address - Street 1:12015 WHITMARSH LN
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626-1737
Practice Address - Country:US
Practice Address - Phone:813-658-3600
Practice Address - Fax:813-739-0917
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME82789208200000X, 2082S0105X
IA31448208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL01119XOtherMEDICARE
G56457Medicare UPIN
FL01119XOtherMEDICARE